Individual
JOHN VERCHOT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-4642
Mailing address
PO BOX 64250, BALTIMORE, MD 21264-4250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C01678
MD
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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