Individual provider · Type 1 NPI

Samantha Free, PA

Medical Physician Assistant · Laurel, MD

NPI number 1639345754 Active

Practice location

3357B Corridor Marketplace
Laurel, MD 20724-2381

Fax (301) 497-5489

Mailing address

5000 Cox Rd
Glen Allen, VA 23060-9263

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant Primary 363AM0700XC0003780 (MD)

Medical Physician Assistant: Definition to come...

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About NPI 1639345754

Samantha Free, PA's National Provider Identifier is 1639345754, issued on May 8, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Laurel, MD. The record was last updated on Jun 23, 2021.