Individual
MRS. VIRGINIA HARTE-TITUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
110 BAUGHMANS LN, SUITE 270, FREDERICK, MD 21702-4059
(301) 846-0300
(301) 662-6047
Mailing address
9649 BELAIR RD, SECOND FLOOR, BALTIMORE, MD 21236-1100
(410) 248-2642
(410) 248-2656
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C01045
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012171
JOHNS HOPKINS HEALTHCARE
—
01
—
250442
KAISER
—
05
—
93485
—
MD
01
—
961574
NCPPO
—
Enumeration date
07/13/2006
Last updated
09/20/2010
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