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Individual

ANDREA J DONOHOE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4475 REGENCY PL, SUITE 303, WHITE PLAINS, MD 20602-3269
(301) 645-3420
Mailing address
4475 REGENCY PL, SUITE 303, WHITE PLAINS, MD 20602-3269
(301) 645-3420

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110004785
VA
363AM0700X
Medical Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1122710
NCCPA
PA
Enumeration date
10/29/2014
Last updated
10/05/2022
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