Individual
MARCELINO DANIEL ALBUERNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
516 N ROLLING RD, SUITE 106, CATONSVILLE, MD 21228-4140
(410) 744-4044
(410) 744-7923
Mailing address
10309 WETHERBURN RD, ELLICOTT CITY, MD 21042-1687
(410) 465-6882
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
D0029769
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
342001900
MEDICAL ASSISTANCE
MD
01
—
41014402 (RENDERING)
CAREFIRST
MD
01
—
587P212H
MEDICARE
MD
01
—
P00830020
RAILROAD MEDICARE
GA
01
—
R704 0001
CAREFIRST
DC
Enumeration date
01/28/2006
Last updated
08/06/2010
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