Individual
MRS. SUZANA MANSOLDO SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1071 MD-2, SUITE 101, GAMBRILLS, MD 21054
(410) 721-2333
Mailing address
1071 MD-3, SUITE 101, GAMBRILLS, MD 21054
(410) 721-2333
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0007555
MARYLAND BOARD OF PHYSICIANS
MD
01
—
MS004000
STATE LICENSE
PA
Enumeration date
10/06/2016
Last updated
04/27/2022
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