Individual
ANNIE WONG KOWALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2435 W BELVEDERE AVENUE, SUITE 42, BALTIMORE, MD 21215-5224
(410) 601-6025
(410) 601-5835
Mailing address
2401 W BELVEDERE AVENUE, CREDENTIALING, BALTIMORE, MD 21215-5271
(410) 601-5523
(410) 601-8946
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C3656
MD
Other
Enumeration date
06/25/2008
Last updated
06/10/2010
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