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Individual

ERIK BANH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
5200 EASTERN AVE, MFL, WEST, 6TH FLOOR, BALTIMORE, MD 21224-2734
(410) 550-5018
Mailing address
5200 EASTERN AVE, MFL, WEST, 6TH FLOOR, BALTIMORE, MD 21224-2734
(410) 550-5018

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0005499
MD
363A00000X
Physician Assistant
OA003391
PA

Other

Enumeration date
10/15/2014
Last updated
04/06/2015
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