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Individual

ZANE ADAM PATALIVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3333 N CALVERT ST STE 655, BALTIMORE, MD 21218
(410) 554-2867
(410) 554-2917
Mailing address
9000 FRANKLIN SQUARE DR, DEPARTMENT OF PHYSICIAN ASSISTANT SERVICES, BALTIMORE, MD 21237-3901
(443) 777-7415

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C06034
MD

Other

Enumeration date
01/12/2016
Last updated
07/17/2019
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