Doctor Name: | MRS. JODIE ELIZABETH VOGTMAN |
NPI Number: | 1285656249 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | C0002681 |
Business Practice Address: | 253 Lewis Lane Ste 302 Havre De Grace, MD - 210142221 |
Business Phone Number: | 4109420620 |
Business Fax Number: | |
Mailing Address: | 608 Yankee Doodle Dr, BEL AIR |
State: | MD |
Postal Code: | 210142221 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/25/2006 |
NPI Last Update Date: | 03/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | C0002681 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |