Individual
MRS. VIRGINIA MINTON BIALICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5755 CEDAR LN, COLUMBIA, MD 21044
(410) 720-8000
Mailing address
5755 CEDAR LN, COLUMBIA, MD 21044-2912
(410) 720-8000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0001540
MD
Other
Enumeration date
05/03/2017
Last updated
07/14/2018
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