Individual
MRS. ANGELA ANN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13620 CRAYTON BOULEVARD, HAGERSTOWN, MD 21742-2685
(240) 313-9890
(240) 313-9891
Mailing address
P O BOX 412047, BOSTON, MA 02241
(301) 790-9044
(301) 790-9096
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0004702
MD
Other
Enumeration date
03/12/2012
Last updated
11/27/2018
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