Provider Demographics
NPI:1093096794
Name:TALJ, GELNAR TERESA (PA)
Entity Type:Individual
Prefix:
First Name:GELNAR
Middle Name:TERESA
Last Name:TALJ
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:2153 COLLINGWOOD LN
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-9403
Mailing Address - Country:US
Mailing Address - Phone:240-422-2273
Mailing Address - Fax:
Practice Address - Street 1:11110 MEDICAL CAMPUS RD STE 250
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21742-6756
Practice Address - Country:US
Practice Address - Phone:301-733-4404
Practice Address - Fax:301-733-3984
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-08
Last Update Date:2024-01-25
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant