Individual provider · Type 1 NPI

Carol A. Jerosimich, PA-C

Medical Physician Assistant · Annapolis, MD

NPI number 1811996291 Active

Practice location

170 Jennifer Rd Ste 240
Annapolis, MD 21401-7995

Fax (410) 266-1507

Mailing address

170 Jennifer Rd, Ste 240
Annapolis, MD 21401-7995

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XC0001915 (MD)
Surgical Physician Assistant 363AS0400XC0001915 (MD)

Medical Physician Assistant: Definition to come...

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About NPI 1811996291

Carol A. Jerosimich, PA-C's National Provider Identifier is 1811996291, issued on Jul 19, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Annapolis, MD. The record was last updated on Oct 6, 2020.