Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THERESA DIFABRIZIO, PA-C
Active Sole ProprietorTHERESA DIFABRIZIO, PA-C is a Surgical Physician Assistant healthcare provider located in HALETHORPE, Maryland. NPI 1720483555 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · HALETHORPE, MD
Registration Details
- NPI Number
- 1720483555
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 22, 2014 (11.843625488741 yrs)
- Last Updated
- Jun 1, 2021
- Licenses
-
51688 (CA)C0006812 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1701 TWIN SPRINGS RDHALETHORPE, MD, 212273553Browse MD providers · Browse ZIP 21227
- Phone
- 4107375300
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.