Individual
MRS. TARA JADE BOYNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 E UNIVERSITY PKWY, SUITE 655A, BALTIMORE, MD 21218-2828
(410) 554-2044
(410) 554-2198
Mailing address
200 E UNIVERSITY PKWY, SUITE 655A, BALTIMORE, MD 21218-2828
(410) 554-2044
(410) 554-2198
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C03675
MD
Other
Enumeration date
11/05/2007
Last updated
07/11/2016
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