Individual
MARIANNE R CUNANAN-BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5216
(410) 601-0594
Mailing address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5216
(410) 601-0594
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D65694
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02667150
—
NY
Enumeration date
07/04/2006
Last updated
01/08/2013
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