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NPI Profile for ST PAUL PLACE SPECIALISTS INC in HAGERSTOWN, MD.
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gynecologic Oncology |
207VX0201X | 16 | Physician/Obstetrics & Gynecology | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Physician Assistant |
363A00000X | 97 | Physician Assistant |
| NPI Number | 1427923697 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/08/2025 | |
| Last updated | 10/08/2025 - About 8 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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ST PAUL PLACE SPECIALISTS, INC.
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| PAMELA MCMULLAN, CRNP 11116 MEDICAL CAMPUS RD STE 2989 HAGERSTOWN, MD |
| ADRIAN GARZA CAVAZOS, MD 11110 MEDICAL CAMPUS RD STE 249 HAGERSTOWN, MD |
| REBECCA A KREPS, PA-C 1165 IMPERIAL DRIVE HAGERSTOWN, MD |
| SUSAN H FUNKE, C.N.M. 1165 IMPERIAL DRIVE HAGERSTOWN, MD |
| SARALA CRIST, CRNP 1126 OPAL CT HAGERSTOWN, MD |
| DULMI K RATNASIRI DEPARTMENT OF PHYSICIAN ASSISTANT MEDICINE HAGERSTOWN, MD |
| JEMIMA BLACKMON 1126 OPAL COURT HAGERSTOWN, MD |
| JOSHUA S DULL, CRNP 18117 MAUGANS AVE HAGERSTOWN, MD |
| LISA N MILLER, MD 1165 IMPERIAL DRIVE HAGERSTOWN, MD |
| MARIAH BACON 301 N KING ST. SHEPHERDSTOWN, WV |
ST PAUL PLACE SPECIALISTS, INC.