Individual
ANELA MICHELLE COLLAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
844 WASHINGTON RD, SUITE 102, WESTMINSTER, MD 21157-6664
(410) 871-0088
(410) 871-0083
Mailing address
535 OLD WESTMINSTER PIKE, SUITE 102, WESTMINSTER, MD 21157-6267
(410) 871-6864
(410) 871-6226
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C0003833
MD
Other
Enumeration date
09/23/2009
Last updated
10/06/2015
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