Theresa Difabrizio, PA-C Valid NPI

Individual provider · Surgical Physician Assistant · Halethorpe, MD

NPI

1720483555

Type

Individual (Type 1)

Primary specialty

Surgical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AS0400X

License number

C0006812 (MD)

Sex

Female

Sole proprietor

Yes

Enumerated

2014-10-22

Last updated

2021-06-01