Provider Demographics
NPI:1114064573
Name:BILIK, MONICA L (PA-C)
Entity Type:Individual
Prefix:MS
First Name:MONICA
Middle Name:L
Last Name:BILIK
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16115 INHERITANCE DR
Mailing Address - Street 2:
Mailing Address - City:BRANDYWINE
Mailing Address - State:MD
Mailing Address - Zip Code:20613-4119
Mailing Address - Country:US
Mailing Address - Phone:301-579-9450
Mailing Address - Fax:
Practice Address - Street 1:101 STRAUSS AVE BLDG 901
Practice Address - Street 2:
Practice Address - City:INDIAN HEAD
Practice Address - State:MD
Practice Address - Zip Code:20640-1542
Practice Address - Country:US
Practice Address - Phone:301-744-1027
Practice Address - Fax:310-744-1028
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant