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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
4940 EASTERN AVE, BALTIMORE, MD 21224-2735

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
07/14/2026
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