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Organization
CLINICAL ASSOCIATES P A
Active
Organization
CLINICAL ASSOCIATES P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEWEL WATSON (CREDENTIALING COORDINATOR)
(410) 494-1237
Entity
Organization
Contact information
Practice address
515 FAIRMOUNT AVE STE 300, TOWSON, MD 21286-8519
(410) 296-5300
(410) 494-1361
Mailing address
515 FAIRMOUNT AVE STE 400, TOWSON, MD 21286-8518
(410) 494-1324
(410) 494-1361
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
—
NULL
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/08/2015
Last updated
04/07/2026
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