Individual
MS. MARYAM MESSFOROSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2425 N SALISBURY BLVD, SALISBURY, MD 21801-2138
(443) 944-0187
Mailing address
1404 FREE RANGE CIRCLE, SALISBURY, MD 21804-9300
(410) 546-0166
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0002915
MD
Other
Enumeration date
01/04/2010
Last updated
01/04/2010
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