MR. Thomas Glen Hettich, PA-C

NPI #1992765747 in Germantown, Maryland

Provider Information

NPI Number: 1992765747
Entity Type: Individual
Name: MR. Thomas Glen Hettich, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 24, 2006
Last Updated: May 29, 2025

Practice Location

Address: 21044 FREDERICK RD
City: Germantown
State: Maryland
ZIP Code: 20876-4132
Phone: (240) 238-5432

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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