JAMAL T. BRACKEN

BALTIMORE, MD
NPI1700399771
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MD  C0006658)
Enumeration Date2017-11-13
Last Update Date2017-11-13
Business Address
Mr. JAMAL T. BRACKEN PA-C
540 E BELVEDERE AVE
BALTIMORE, MD 21212-3750
Phone number: 443-926-9115
Mailing Address
Mr. JAMAL T. BRACKEN PA-C
2145 FIRETHORN RD
MIDDLE RIVER, MD 21220-4806
Phone number: