Individual
NICHOLAS P ATHAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
301 SAINT PAUL PL, BALTIMORE, MD 21202-2102
(410) 332-9000
Mailing address
PO BOX 64075, BALTIMORE, MD 21264-4075
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C 03378
MD
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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