Individual
MISS GINA NICOLE LEGALUPPI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8322 BELLONA AVE RM 100, TOWSON, MD 21204-2063
(410) 337-7900
(410) 821-1334
Mailing address
8322 BELLONA AVE RM 100, TOWSON, MD 21204-2063
(410) 337-7900
(410) 821-1334
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C0009739
MD
Other
Enumeration date
11/02/2021
Last updated
03/27/2025
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