Individual
MARCOS S FALTAMO
Active
Individual
MARCOS S FALTAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
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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