MEDICARE: DANIELLE ROMANO ADESMAN 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
1	363AS0400X	Surgical Physician Assistant	C0008995	MD
2	363A00000X	Physician Assistant	0110009367	VA
3	363AS0400X	Surgical Physician Assistant	0110009367	VA
4	363A00000X	Physician Assistant	C0008995	MD

General Provider Information

NPI Number	:	1770264954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE ROMANO ADESMAN PA-C

Provider Business Mailing Address
First Line	:	6201 GREENLEIGH AVE
Second Line	:
City	:	MIDDLE RIVER
State	:	MD
Zip	:	21220-2004
Country	:	US
Telephone Number	:	410-933-0000
Fax Number	:	410-500-4266

Provider Business Practice Location Address
First Line	:	5454 WISCONSIN AVE STE 1210
Second Line	:
City	:	CHEVY CHASE
State	:	MD
Zip	:	20815-6934
Country	:	US
Telephone Number	:	301-215-5955
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2023
Last Update Date	:	01/22/2026

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