Individual
MRS. JORDAN CASSELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6701 N CHARLES ST, TOWSON, MD 21204-6881
(443) 849-2260
Mailing address
6701 N CHARLES ST, TOWSON, MD 21204-6808
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0004682
MD
Other
Enumeration date
08/09/2012
Last updated
11/08/2018
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