Individual
DR. MARCIA SANFORD DRISCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
419 W REDWOOD ST, SUITE 160, BALTIMORE, MD 21201-1734
(410) 328-3167
(410) 328-1323
Mailing address
PO BOX 64445, BALTIMORE, MD 21264-4445
(410) 328-1064
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D0057983
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
612547-01
CAREFIRST
MD
01
—
S045-0033
BLUE SHIELD FEP
DC
Enumeration date
09/21/2006
Last updated
03/26/2008
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