Organization
PM FAMILYMED, LLC
Active
Organization
PM FAMILYMED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ETHAN HERSKO PA-C (OWNER)
(410) 841-8099
Entity
Organization
Contact information
Practice address
1208 REISTERSTOWN RD, PIKESVILLE, MD 21208-3801
(410) 841-8099
Mailing address
1208 REISTERSTOWN RD, PIKESVILLE, MD 21208-3801
(410) 841-8099
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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