Individual
MR. JOSEPH JOHN TAYLOR-D'AMBROSIO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA STUDENT
Contact information
Practice address
620 W LEXINGTON ST, BALTIMORE, MD 21201-1508
(410) 706-3100
Mailing address
215 S BOULDIN ST, BALTIMORE, MD 21224-2316
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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