Individual
DEVORA SARA KRUPKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5216
(410) 601-9000
Mailing address
6400 APOLLO DR APT C, BALTIMORE, MD 21209-2923
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
019126
NY
Other
Enumeration date
02/10/2016
Last updated
04/09/2017
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