Provider Demographics
NPI:1871748145
Name:PIAZZA, JAMES ANTHONY (PA-C)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ANTHONY
Last Name:PIAZZA
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:7250 PARKWAY DR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-1388
Mailing Address - Country:US
Mailing Address - Phone:410-567-5520
Mailing Address - Fax:410-712-4760
Practice Address - Street 1:7250 PARKWAY DR
Practice Address - Street 2:SUITE 400
Practice Address - City:HANOVER
Practice Address - State:MD
Practice Address - Zip Code:21076-1388
Practice Address - Country:US
Practice Address - Phone:410-567-5520
Practice Address - Fax:410-712-4760
Is Sole Proprietor?:No
Enumeration Date:2008-11-30
Last Update Date:2008-11-30
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Provider Licenses
StateLicense IDTaxonomies
MDPA56977363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant