Organization · Type 2 NPI

CTG LLC

Medical Physician Assistant · Rockville, MD

NPI number 1376914481 Active

Practice location

418 Winding Rose Dr
Rockville, MD 20850-2863

Specialties and licenses

Taxonomy	Code	License
Medical Physician Assistant Primary	363AM0700X	C0004642 (MD)

Medical Physician Assistant: Definition to come...

Other medical physician assistant providers in Rockville

Diane Tackie Granillo, LLCMedical Physician Assistant Rockville, MD NPI 1972393171

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NPI record

NPI: 1376914481
Entity type: Organization (Type 2)
Issued: Oct 15, 2015
Last updated: May 16, 2022
Status: Active

Other names

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Caring House Calls · doing business as
Medicine at Home · doing business as

Authorized official

Ms. Christine Tarrant Gardella, PA-C
Owner
(443) 858-9401

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1376914481

CTG LLC's National Provider Identifier is 1376914481, issued on Oct 15, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rockville, MD. The record was last updated on May 16, 2022.