Individual
CRYSTAL ANN GEMPKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6701 N CHARLES ST, TOWSON, MD 21204-6881
(443) 849-2000
Mailing address
343 PONFIELD RD E, FOREST HILL, MD 21050-2537
(443) 617-5115
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0008377
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0008377
STATE MEDICAL LICENSE
MD
Enumeration date
03/04/2022
Last updated
03/04/2022
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