Individual
HILARIE MARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4627 HUDSON ST, BALTIMORE, MD 21224-3060
(410) 808-5577
Mailing address
4627 HUDSON ST, BALTIMORE, MD 21224-3060
(410) 808-5577
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
C0004997
MD
363AS0400X
Surgical Physician Assistant
Primary
C0004997
MD
Other
Enumeration date
02/25/2013
Last updated
12/05/2016
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