Individual
MARCOS S FALTAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1300 MERCANTILE LN, LARGO, MD 20774-5327
(301) 317-0020
(301) 317-0028
Mailing address
3640 LYONS CREEK RD, DUNKIRK, MD 20754-9278
(301) 317-0020
(301) 317-0082
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R143174
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
358CMA
CAREFIRST
MD
01
—
K947
CAREFIRST
DC
01
—
P00292825
RAILROAD MEDICARE
GA
Enumeration date
06/19/2006
Last updated
05/06/2008
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