Individual
ANNE LOUISE MARTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2623 WHITEFORD RD, WHITEFORD, MD 21160-1103
(410) 452-5515
(410) 452-8030
Mailing address
2623 WHITEFORD RD, WHITEFORD, MD 21160-1103
(410) 452-5515
(410) 452-8030
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0055832
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130506900
—
MD
01
—
607338-03 & 02
BLUE CROSS/BLUE SHIELD
MD
Enumeration date
08/24/2005
Last updated
11/16/2010
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