Individual
MR. JOSEPH WHITTAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9110 PHILADELPHIA RD STE 200, BALTIMORE, MD 21237-4325
(410) 282-7600
Mailing address
711 S EATON ST, BALTIMORE, MD 21224-4316
(772) 233-8308
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0006534
MD
363AS0400X
Surgical Physician Assistant
C0006534
MD
Other
Enumeration date
08/03/2017
Last updated
03/17/2018
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