Individual
KATHERINE S MATHIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
15225 SHADY GROVE RD, SUITE 306B, ROCKVILLE, MD 20850-3254
(240) 401-4230
Mailing address
11850 W MARKET PL, SUITE P, FULTON, MD 20759-2670
(301) 340-8339
(240) 485-5407
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0001617
MD
363A00000X
Physician Assistant
C01617
MD
Other
Enumeration date
08/31/2005
Last updated
01/11/2017
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