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Individual

FALLON RENEE BAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
490 CADMUS LN STE 102, EASTON, MD 21601
(410) 770-5250
Mailing address
900 ELKRIDGE LANDING RD FL 2, LINTHICUM, MD 21090-2924
(443) 462-5010

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0004883
MD

Other

Enumeration date
10/02/2012
Last updated
08/06/2021
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