Individual
ADRIAN ALONSO FEIJOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
4231 N WOODS TRL, HAMPSTEAD, MD 21074-3128
(410) 374-9391
Mailing address
4231 N WOODS TRL, HAMPSTEAD, MD 21074-3128
(410) 374-9391
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C04409
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C04409
LICENSE NUMBER
MD
Enumeration date
12/03/2010
Last updated
12/03/2010
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