Provider Demographics
NPI:1912238395
Name:POLLINO, REBECCA ANN (PA)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:ANN
Last Name:POLLINO
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:10 CROSSROADS DRIVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5458
Mailing Address - Country:US
Mailing Address - Phone:410-484-8088
Mailing Address - Fax:410-581-9134
Practice Address - Street 1:10 CROSSROADS DRIVE
Practice Address - Street 2:SUITE 210
Practice Address - City:OSWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-5458
Practice Address - Country:US
Practice Address - Phone:410-484-8088
Practice Address - Fax:410-581-9134
Is Sole Proprietor?:No
Enumeration Date:2010-01-25
Last Update Date:2010-09-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDC0004162363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant