Individual provider · Type 1 NPI

Ethan Marshall Bulger

Physician Assistant · Hagerstown, MD

NPI number 1972359685 Active

Practice location

17301 Valley Mall Rd Ste 125
Hagerstown, MD 21740-6966

Mailing address

11116 Medical Campus Rd
Hagerstown, MD 21742-6710

Other practice locations

  • 24 N Walnut St Fl 3, Hagerstown, MD 21740-4738 · (240) 527-2752
  • 22911 Jefferson Blvd, Smithsburg, MD 21783-1617 · (301) 824-3343

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XC0010237 (MD)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1972359685

Ethan Marshall Bulger's National Provider Identifier is 1972359685, issued on Apr 24, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Hagerstown, MD. The record was last updated on Mar 12, 2026.