Individual
MS. KRISTA D AGHAZARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
227 SAINT PAUL ST FL 5, BALTIMORE, MD 21202-2001
(410) 332-9336
Mailing address
301 ST. PAUL PLACE, TOWER, 5TH FLOOR, BALTIMORE, MD 21202
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
017699-1
NY
363AS0400X
Surgical Physician Assistant
25MP00344500
NJ
363AS0400X
Surgical Physician Assistant
3137
CT
Other
Enumeration date
07/18/2014
Last updated
03/17/2018
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