Individual
MARY KATHERINE GUAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010
(410) 502-2037
(410) 955-0737
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10001429A
IN
363A00000X
Physician Assistant
56513
CA
363A00000X
Physician Assistant
Primary
C05161
MD
363A00000X
Physician Assistant
MA053807
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C05161
MD LICENSE
MD
Enumeration date
11/30/2005
Last updated
01/24/2024
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