Provider Demographics
NPI:1063125524
Name:SIDAROUS, GERMEEN ADEL (PA)
Entity type:Individual
Prefix:MRS
First Name:GERMEEN
Middle Name:ADEL
Last Name:SIDAROUS
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:6932 FAIRFAX DR UNIT 304
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22213-1030
Mailing Address - Country:US
Mailing Address - Phone:703-625-6648
Mailing Address - Fax:
Practice Address - Street 1:11701 LIVINGSTON RD STE 302
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-5146
Practice Address - Country:US
Practice Address - Phone:301-292-6010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-29
Last Update Date:2022-12-29
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant