Provider Demographics
NPI:1689907107
Name:BRYDEN, BARBARA J (PA)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:J
Last Name:BRYDEN
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:19735 GERMANTOWN RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-1214
Mailing Address - Country:US
Mailing Address - Phone:301-917-6513
Mailing Address - Fax:301-917-6506
Practice Address - Street 1:10400 CONNECTICUT AVE
Practice Address - Street 2:SUITE 600
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-3910
Practice Address - Country:US
Practice Address - Phone:301-942-2212
Practice Address - Fax:301-942-1149
Is Sole Proprietor?:No
Enumeration Date:2009-09-16
Last Update Date:2009-09-16
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Provider Licenses
StateLicense IDTaxonomies
MDC0003309363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical