Individual
TIFFANY PASSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1500 FOREST GLEN RD, SILVER SPRING, MD 20910
(301) 754-7000
Mailing address
1016 GRASSMERE TERE, FAR ROCKAWAY, NY 11691
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
—
MD
363AS0400X
Surgical Physician Assistant
Primary
—
MD
Other
Enumeration date
02/20/2023
Last updated
04/13/2023
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