Individual provider · Type 1 NPI

Theresa Difabrizio, PA-C

Surgical Physician Assistant · Halethorpe, MD

NPI number 1720483555 Active

Practice location

1701 Twin Springs Rd
Halethorpe, MD 21227-3553

Mailing address

739 S Linwood Ave
Baltimore, MD 21224-3853

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X51688 (CA)
Surgical Physician Assistant Primary 363AS0400XC0006812 (MD)

Surgical Physician Assistant: Definition to come...

87 other providers at this address

About NPI 1720483555

Theresa Difabrizio, PA-C's National Provider Identifier is 1720483555, issued on Oct 22, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Halethorpe, MD. The record was last updated on Jun 1, 2021.