Individual
MARIE D CHATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6565 N CHARLES ST, SUITE 203, TOWSON, MD 21204-6800
(443) 849-2353
Mailing address
PO BOX 418953, BOSTON, MA 02241-8953
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D0020907
MD
207RP1001X
Pulmonary Disease Physician
Primary
D0020907
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007 E554
BLUE CHOICE
MD
01
—
290010122
RAILROAD MEDICARE
—
01
—
30645001 420A
BLUE SHIELD
MD
01
—
4800004
UNITEDHEALTHCARE MCO
—
01
—
542085
MAMSI
—
01
—
90530
UNITEDHEALTHCARE
—
Enumeration date
10/13/2006
Last updated
01/12/2012
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