Individual
MARA R. HOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 RIDGELY AVE, SUITE 130, ANNAPOLIS, MD 21401-1001
(410) 246-8049
(410) 266-0895
Mailing address
600 RIDGELY AVE, SUITE 130, ANNAPOLIS, MD 21401-1001
(410) 246-8049
(410) 266-0895
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
D0066009
MD
208800000X
Urology Physician
Primary
D0066009
MD
Other
Enumeration date
02/16/2007
Last updated
06/12/2020
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