Individual
STEPHANIE JOAN CONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
7116 RITCHIE HWY, GLEN BURNIE, MD 21061-2904
(443) 577-0277
(443) 577-0288
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0004292
MD
Other
Enumeration date
12/02/2010
Last updated
03/24/2021
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