Individual provider · Type 1 NPI

Edward Jackson Booth, PhD, APA-C

Medical Physician Assistant · Bethesda, MD

NPI number 1487813317 Active

Practice location

4650 Taylor Rd Bldg 17A
Bethesda, MD 20889-5638

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Medical Physician Assistant: Definition to come...

4 other providers at this address

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About NPI 1487813317

Edward Jackson Booth, PhD, APA-C's National Provider Identifier is 1487813317, issued on Jun 5, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bethesda, MD. The record was last updated on Nov 26, 2025.