Most Relevant Information
Provider Data
| NPI Number: | 1003330739 |
| Provider Name: | JOSEPH WHITTAKER PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AS0400X |
| Specialty: | Physician Assistant |
| License Number: | C0006534 |
Most Important Dates
| Enumeration Date: | 08/03/2017 |
| Last Updated: | 03/17/2018 |
Provider Practice Location
9110 PHILADELPHIA RD STE 200
BALTIMORE
MD
212374325
Practice Location Phone/Fax
| Phone: | 4102827600 |
| Fax: |
Provider Mailing Location
711 S EATON ST
BALTIMORE
MD
212244316
Provider Mailing Phone/Fax
| Phone: | 7722338308 |
| Fax: |