Individual
AYNN JUDE DEMPSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
803 RUSSELL AVE, SUITE #1, SMC, GAITHERSBURG, MD 20879-3584
(301) 869-0700
(301) 947-9513
Mailing address
2181 WESTMARCH CT, FREDERICK, MD 21702-9420
(301) 662-3216
(301) 947-9513
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0002843
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0002843
MARYLAND CERT #
MD
Enumeration date
06/23/2006
Last updated
07/08/2007
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