Individual
MAGGIE LYNN IPSARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8501 ARLINGTON BLVD STE 410, FAIRFAX, VA 22031
(703) 738-4331
(703) 642-1876
Mailing address
11350 MCCORMICK RD, BUILDING 1, SUITE 501, BALITMORE, MD 21031
(410) 329-1071
(410) 329-1054
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001753
VA
Other
Enumeration date
04/21/2006
Last updated
07/24/2019
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