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NPI Code Detail

MEDICARE: HEIDI ELIZABETH CALLAHAN P.A.

MEDICARE: HEIDI ELIZABETH CALLAHAN P.A.
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 AssistantC01701MD

General Provider Information

NPI Number : 1699778811
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEIDI ELIZABETH CALLAHAN P.A.
Provider Business Mailing Address
First Line : 614 EASTERN SHORE DR STE C
Second Line :
City : SALISBURY
State : MD
Zip : 21804-5940
Country : US
Telephone Number : 443-260-2660
Fax Number : 443-260-2754
Provider Business Practice Location Address
First Line : 100 E CARROLL ST
Second Line : # 400
City : SALISBURY
State : MD
Zip : 21801-5422
Country : US
Telephone Number : 410-543-7530
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 03/07/2023

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Directions to “ HEIDI ELIZABETH CALLAHAN P.A.” Practice Location

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