Provider Demographics
NPI:1710487459
Name:DRAME, MOUSTAPHA (PA)
Entity Type:Individual
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First Name:MOUSTAPHA
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Last Name:DRAME
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Gender:M
Credentials:PA
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Mailing Address - Street 1:3450 LAUREL FORT MEADE RD
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20724-2040
Mailing Address - Country:US
Mailing Address - Phone:301-317-8660
Mailing Address - Fax:301-317-8663
Practice Address - Street 1:3450 LAUREL FORT MEADE RD
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20724-2040
Practice Address - Country:US
Practice Address - Phone:301-317-8660
Practice Address - Fax:301-317-8663
Is Sole Proprietor?:No
Enumeration Date:2018-02-20
Last Update Date:2018-02-20
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant