Individual
NATHAN EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
520 W FAYETTE ST STE 300, BALTIMORE, MD 21201-1756
(301) 996-1546
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-2704
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C09053
MD
Other
Enumeration date
10/10/2022
Last updated
10/23/2025
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