Individual provider · Type 1 NPI
Tracy Jacinda Branch, PA
Medical Physician Assistant · Gaithersburg, MD
NPI number
1003343138
Active
Practice location
8501 Plum Creek Dr
Gaithersburg, MD 20882-4438
Mailing address
5600 Fishers Ln # 16N164C
Rockville, MD 20852-1750
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 007573 (NY) |
Medical Physician Assistant: Definition to come...
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About NPI 1003343138
Tracy Jacinda Branch, PA's National Provider Identifier is 1003343138, issued on May 19, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Gaithersburg, MD. The record was last updated on May 19, 2017.