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1215348057
AJITH HERATH
HAGERSTOWN, MD
NPI
1215348057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C0005384)
Enumeration Date
2014-05-14
Last Update Date
2019-05-28
Business Address
AJITH HERATH PA-C
13620 CRAYTON BLVD
HAGERSTOWN, MD 21742-2335
Phone number: 240-313-3100
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Mailing Address
AJITH HERATH PA-C
13620 CRAYTON BLVD
HAGERSTOWN, MD 21742-2335
Phone number: 240-313-3100
Copy
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