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Individual

JILL EMILY O'MALLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
910 FREDERICK RD, CATONSVILLE, MD 21228-4516
(410) 644-1880
(410) 646-3623
Mailing address
910 FREDERICK RD, CATONSVILLE, MD 21228-4516
(410) 644-1880
(410) 646-3623

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C07627
MD
363AS0400X
Surgical Physician Assistant
C07627
MD

Other

Enumeration date
09/22/2015
Last updated
04/29/2021
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