Jerome J Upchurch, SA-C, CSFA
NPI #1023557618 in North Potomac, Maryland
Provider Information
- NPI Number
- 1023557618
- Entity Type
- Individual
- Name
- Jerome J Upchurch, SA-C, CSFA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- SA-C, CSFA
- Enumeration Date
- Feb 16, 2017
- Last Updated
- Sep 12, 2018
Practice Location
- Address
- 15811 CHAGALL TER
- City
- North Potomac
- State
- Maryland
- ZIP Code
- 20878-3461
- Phone
- (215) 518-2138
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Surgical Assistant — Surgical Assistant |
| Physician Assistant - Surgical — Surgical |
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