Individual
MR. MANOUCHEHR ATAEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
700 GEIPE ROAD, SUITE 200, CATONSVILLE, MD 21228
(410) 744-0661
(410) 744-8036
Mailing address
700 GEIPE ROAD, SUITE 200, CATONSVILLE, MD 21228
(410) 744-0661
(410) 744-8036
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0006284
MD
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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