JEROME J UPCHURCH

NORTH POTOMAC, MD
NPI1023557618
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
Additional Taxonomies246ZC0007X Specialist/Technologist, Other, Surgical Assistant
Enumeration Date2017-02-16
Last Update Date2018-09-12
Business Address
JEROME J UPCHURCH SA-C, CSFA
15811 CHAGALL TER
NORTH POTOMAC, MD 20878-3461
Phone number: 215-518-2138
Mailing Address
JEROME J UPCHURCH SA-C, CSFA
15811 CHAGALL TER
NORTH POTOMAC, MD 20878-3461
Phone number: 215-518-2138