WENDY JO SUBASIC PA NPI 1427107580

NPI Information

Wendy Jo Subasic, PA is a medical physician assistant in Baltimore, MD with 18 years of experience. Wendy Jo Subasic, PA NPI is 1427107580. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3407 WILKENS AVE
SUITE 210
BALTIMORE, MD
ZIP 21229-072
Phone: (410) 644-0929

The NPI 1427107580 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 4/29/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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