person
Mr. David John Ericson, PA-C
Medical Physician Assistant in Bel Air, Maryland
NPI 1568560761

David John Ericson is a Medical Physician Assistant based in Bel Air, MD and is specialized in Medical. David John Ericson practices in Bel Air, MD and has the professional credentials of PA-C. The NPI Number for David John Ericson is 1568560761 and holds a License No. MA057338 (Maryland).

The current practice location address for David John Ericson is 520 Upper Chesapeake Dr Ste 206, Bel Air, MD and can be reached out via phone at 410-879-9100 and via fax at 410-638-0408. You can also correspond with David John Ericson through the mailing address at 520 UPPER CHESAPEAKE DR STE 206, BEL AIR, MD - 21014-4360 (mailing address contact number: 410-879-9100).

Location: 520 Upper Chesapeake Dr Ste 206, Bel Air, MD, 21014-4360
person
Provider Profile Details
NPI Number
1568560761
Provider Name
David John Ericson
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
520 Upper Chesapeake Dr Ste 206, Bel Air, MD, 21014-4360
Phone Number
410-879-9100
Fax Number
410-638-0408
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
435383 05 MT
institution
Provider Business Practice Location Address Details
Address
520 Upper Chesapeake Dr Ste 206
City
State
Zip
21014
Phone Number
410-879-9100
Fax Number
410-638-0408
person
Provider Business Mailing Address Details
Address
520 Upper Chesapeake Dr Ste 206
City
State
Zip
21014
Phone Number
410-879-9100
Fax Number
410-638-0408
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
MA057338 (Pennsylvania)
Definition
Definition to come...
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