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1902345317
THERESE FORTE
BALTIMORE, MD
NPI
1902345317
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Former Name
THERESE D'AMBROSIO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2017-02-17
Last Update Date
2021-11-23
Business Address
THERESE FORTE PA-C
900 CATON AVE
BALTIMORE, MD 21229-5201
Phone number: 667-234-2414
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Mailing Address
THERESE FORTE PA-C
1100 EDMONDSON AVE
CATONSVILLE, MD 21228-4901
Phone number: 443-848-3161
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