Individual
MS. NADA KAZZAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4940 EASTERN AVE # ORTHO6A, BALTIMORE, MD 21224-2735
(410) 550-0453
(410) 550-1375
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
Primary
C06712
MD
363AM0700X
Medical Physician Assistant
MA058530
PA
Other
Enumeration date
09/30/2016
Last updated
02/03/2023
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