Individual
MR. JEFFERY EDWARD PIACITELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-5420
Mailing address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-5420
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0002804
MD
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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