Organization
THE HEART CENTER OF NORTHERN ANNE ARUNDEL COUNTY PA
Active
Organization
THE HEART CENTER OF NORTHERN ANNE ARUNDEL COUNTY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC OKUN MD (PRESIDENT)
(410) 768-6600
Entity
Organization
Contact information
Practice address
1417 MADISON PARK DR, GLEN BURNIE, MD 21061
(410) 768-6600
(410) 768-3132
Mailing address
1417 MADISON PARK DR, GLEN BURNIE, MD 21061-5613
(410) 768-6600
(410) 768-3132
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406331704
—
MD
01
—
CF4901
RAILROAD MEDICARE
MD
Enumeration date
08/16/2005
Last updated
08/23/2018
Update your record
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