Individual
DEANNA GRASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-0100
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
25MT00237400
NJ
363A00000X
Physician Assistant
Primary
C08732
MD
Other
Enumeration date
03/28/2019
Last updated
01/24/2023
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