Individual
JIMMY LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
301 SAINT PAUL PL, 5TH FLOOR, BALTIMORE, MD 21202-2102
(410) 332-9404
(410) 347-5599
Mailing address
301 SAINT PAUL PL, 5TH FLOOR, BALTIMORE, MD 21202-2102
(410) 332-9404
(410) 347-5599
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0003671
MD
363AS0400X
Surgical Physician Assistant
C0003671
MD
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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