Individual
ETHAN MARSHALL BULGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17301 VALLEY MALL RD STE 125, HAGERSTOWN, MD 21740-6966
(301) 790-9236
Mailing address
11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6710
(301) 824-3343
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0010237
MD
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/24/2024
Last updated
03/12/2026
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