Individual
DR. RICHARD CHARLES MARSELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,PH.D.
Contact information
Practice address
5450 KNOLL NORTH DR, COLUMBIA, MD 21045-2300
(443) 618-6596
Mailing address
8222 MONCTON RD, MILLERSVILLE, MD 21108-1122
(410) 987-1208
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
D0024047
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H703X202
—
MD
Enumeration date
03/13/2007
Last updated
07/08/2007
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