Individual
ALLISON WAGNER SCADUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7701 GREENBELT RD, SUITE 504, GREENBELT, MD 20770-2037
(301) 345-7375
(301) 345-7269
Mailing address
7701 GREENBELT RD, STE 504, GREENBELT, MD 20770-6525
(410) 384-9311
(410) 384-9433
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0002937
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0002937
MD LICENSE
MD
Enumeration date
05/24/2007
Last updated
03/07/2023
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