NPI 1659427342 · live from the CMS NPI Registry
Jared Abay, pa-c
Physician Assistant, Surgical in Baltimore, MD. National Provider Identifier 1659427342, active.
NPI record
| NPI | 1659427342 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Surgical 363AS0400X |
| Practice location | 4940 Eastern Ave, Baltimore, MD 21224 |
| Practice phone | 410-550-0100 |
| Mailing address | 6401 Galway Dr, Clarksville, MD 21029 |
| Enumerated | January 26, 2007 |
| Last updated | March 8, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Surgical primary | 363AS0400X | c0000649 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.