Provider Demographics
NPI:1982761300
Name:ORBACH, NATALIE ANN (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:ANN
Last Name:ORBACH
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 BOSTON ST
Mailing Address - Street 2:UNIT 501
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-4800
Mailing Address - Country:US
Mailing Address - Phone:410-342-5904
Mailing Address - Fax:
Practice Address - Street 1:2901 BOSTON ST
Practice Address - Street 2:UNIT 501
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-4800
Practice Address - Country:US
Practice Address - Phone:410-342-5904
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0002217363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical