Individual
MARLENE ROSEMARY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 N WOLFE ST, BALTIMORE, MD 21287-0005
(443) 287-5365
Mailing address
200 N WOLFE ST, BALTIMORE, MD 21287-0011
(443) 287-5365
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D45895
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146511200
—
MD
Enumeration date
05/11/2006
Last updated
01/06/2014
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