Individual
TAYLOR MARMORALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 521-2200
Mailing address
603 ADMIRAL DR UNIT 8, ANNAPOLIS, MD 21401-2185
(516) 355-1660
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1204187
—
Other
Enumeration date
03/07/2023
Last updated
04/04/2023
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