Individual
JOSEPHINE MARSHALLECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2041 GEORGIA AVE NW, WASHINGTON, DC 20060-0001
(202) 865-1353
(202) 865-7538
Mailing address
2041 GEORGIA AVE NW, WASHINGTON, DC 20060-0001
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD17478
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029905500
—
DC
05
—
10013992
—
VA
05
—
294941500
—
MD
Enumeration date
12/05/2006
Last updated
02/14/2013
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