Individual
SABRINA MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010
(301) 979-1284
Mailing address
18921 PORTERFIELD WAY, GERMANTOWN, MD 20874-1880
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0006543
MD
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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