Pomponio, Tara

Pomponio, Tara is an individual health care provider with primary practice located at 2000 Medical Pkwy Suite 304, Annapolis MD 21401-3742. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Pomponio, Tara can be contacted via phone (410) 573-9530.

Contact Information

Primary practice address
2000 Medical Pkwy Suite 304 Annapolis MD 21401-3742
Phone: (410) 573-9530
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA18732 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X CO4459 Maryland

Profile Details

NPI number 1528244894
LBN Legal business name Pomponio, Tara
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2008
Last updated Oct 31st, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528244894 NPPES
Maryland Other 596754ZDWS MEDICARE
Maryland Other 596754Y5Z MEDICARE

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