Individual provider · Type 1 NPI

Justin Ajose, PA-C

Medical Physician Assistant · Essex, MD

NPI number 1093304669 Active

Practice location

1354 Eastern Blvd
Essex, MD 21221-3423

Mailing address

2004 Rock Spring Rd.
Forest Hill, MD 21050-2310

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1167981 (MD)

Medical Physician Assistant: Definition to come...

Another provider at this address

About NPI 1093304669

Justin Ajose, PA-C's National Provider Identifier is 1093304669, issued on Jan 18, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Essex, MD. The record was last updated on Feb 13, 2021.