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1144326703
AGISILAOS MAKRODIMITRIS
BALTIMORE, MD
NPI
1144326703
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C02281)
Enumeration Date
2006-09-14
Last Update Date
2015-01-12
Business Address
-- AGISILAOS MAKRODIMITRIS PA
210 E UNIVERSITY PKWY
BALTIMORE, MD 21218-2828
Phone number: 202-877-9696
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Mailing Address
-- AGISILAOS MAKRODIMITRIS PA
1000 RIVER RD STE 100
CONSHOHOCKEN, PA 19428-2439
Phone number: 800-355-3818
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