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1972659530
JEFFERY EDWARD PIACITELLI
BALTIMORE, MD
NPI
1972659530
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C0002804)
Enumeration Date
2007-01-26
Last Update Date
2007-07-08
Business Address
Mr. JEFFERY EDWARD PIACITELLI PA-C
600 N WOLFE ST
BALTIMORE, MD 21287-0005
Phone number: 410-955-5420
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Mailing Address
Mr. JEFFERY EDWARD PIACITELLI PA-C
600 N WOLFE ST
BALTIMORE, MD 21287-0005
Phone number: 410-955-5420
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