Individual
EVAN THOMAS TASIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C, MPH
Contact information
Practice address
600 N WOLFE ST, HALSTED BUILDING STE 600, BALTIMORE, MD 21287
(410) 502-2651
Mailing address
5801 SMITH AVE STE 210, BALTIMORE, MD 21209-3652
(336) 312-1764
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0006903
MD
Other
Enumeration date
08/09/2018
Last updated
02/11/2022
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