Individual
MR. OMAR FEREJA FEREJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2000 W BALTIMORE ST, BALTIMORE, MD 21223-1558
(301) 980-0521
Mailing address
2000 W BALTIMORE ST, BALTIMORE, MD 21223-1558
(301) 980-0521
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0003974
MD
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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