Individual provider · Type 1 NPI

Ashley B. Tolliver, P.A.-C.

Medical Physician Assistant · Baltimore, MD

NPI number 1770969131 Active

Practice location

4940 Eastern Ave
Baltimore, MD 21224-2735

Fax (410) 550-0178

Mailing address

6201 Greenleigh Ave
Middle River, MD 21220-2004

Other practice locations

  • 12410 Milestone Center Dr Ste 600, Germantown, MD 20876-7102 · (301) 307-5335

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X0010-10529 (NC)
Physician Assistant 363A00000XPA031239 (DC)
Physician Assistant 363A00000X0110007406 (VA)
Medical Physician Assistant Primary 363AM0700XC05839 (MD)

Medical Physician Assistant: Definition to come...

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About NPI 1770969131

Ashley B. Tolliver, P.A.-C.'s National Provider Identifier is 1770969131, issued on Aug 7, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Baltimore, MD. The record was last updated on May 14, 2023.