Individual
MRS. HAELEE DUREN PETTINGILL COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
345 SAINT PAUL ST, BALTIMORE, MD 21202-2123
(410) 332-9000
Mailing address
12014 WATERSIDE VIEW DR APT 14, RESTON, VA 20194-1758
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110-007722
VA
363A00000X
Physician Assistant
Primary
C0007927
MD
Other
Enumeration date
02/09/2020
Last updated
11/08/2021
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