Individual
MARISA FLAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
707 N BROADWAY, BALTIMORE, MD 21205-1888
(443) 923-1842
Mailing address
6201 GREENLEIGH AVE FL 2, MIDDLE RIVER, MD 21220-2004
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
256291
MA
208100000X
Physical Medicine & Rehabilitation Physician
256291
MA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
D0101188
MD
Other
Enumeration date
06/22/2013
Last updated
11/11/2024
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