Individual
MR. HADJI MAGNAYE MALACAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2945
(443) 444-4040
Mailing address
5204 CATALPHA RD, BALTIMORE, MD 21214-2101
(443) 824-4949
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0004207
MD
Other
Enumeration date
08/10/2010
Last updated
11/27/2014
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