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NPI Code Detail

MEDICARE: PATRICIA MALTAGLIATI PA-C

MEDICARE:   PATRICIA  MALTAGLIATI  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantC0001881MD

General Provider Information

NPI Number : 1255308854
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA MALTAGLIATI PA-C
Provider Business Mailing Address
First Line : 7201 LOCH RAVEN RD
Second Line :
City : TEMPLE HILLS
State : MD
Zip : 20748-5401
Country : US
Telephone Number : 301-449-7230
Fax Number :
Provider Business Practice Location Address
First Line : 7201 LOCH RAVEN RD
Second Line :
City : TEMPLE HILLS
State : MD
Zip : 20748-5401
Country : US
Telephone Number : 301-449-7230
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2006
Last Update Date : 11/11/2013

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Directions to “ PATRICIA MALTAGLIATI PA-C” Practice Location

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