Individual
GINA MARIE FAMIGLIETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
2415 MUSGROVE ROAD, SUITE 105, SILVER SPRING, MD 20904
(301) 989-0193
Mailing address
2415 MUSGROVE RD, STE 105, SILVER SPRING, MD 20904-5224
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/05/2020
Last updated
10/07/2020
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