Organization
MARNAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEDION ATNAFU M.D. (MEDICAL DIRECTOR)
(410) 650-4100
Entity
Organization
Contact information
Practice address
300 ARMORY PL, SUITE 3 I, BALTIMORE, MD 21201-4603
(410) 650-4100
Mailing address
12701 TRUTHS PROMISE CT, BOWIE, MD 20720-5600
(301) 464-3087
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
D0062148
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
408456000
—
MD
Enumeration date
07/23/2009
Last updated
07/23/2009
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