Individual
SYLVIA BRANDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 787-4000
Mailing address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0007067
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0007067
STATE PHYSICIAN ASSISTANT LICENSE
MD
Enumeration date
11/16/2018
Last updated
02/11/2019
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