Individual provider · Type 1 NPI
Marielle Destefano, PA-C
Physician Assistant · Baltimore, MD
Practice location
4940 Eastern Ave
Baltimore, MD 21224-2735
Fax (410) 550-2899
Mailing address
9910 Franklin Square Dr Ste 2110
Baltimore, MD 21236-4902
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | None listed |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
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About NPI 1104251685
Marielle Destefano, PA-C's National Provider Identifier is 1104251685, issued on Sep 4, 2013. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Baltimore, MD. The record was last updated on May 9, 2019.