Organization
MARCELINO D. ALBUERNE, M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESA MARIE BEREZNAY (PRACTICE ADMINISTRATOR)
(410) 744-4044
Entity
Organization
Contact information
Practice address
516 N ROLLING RD, SUITE 106, CATONSVILLE, MD 21228-4140
(410) 744-4044
(410) 744-7923
Mailing address
516 N ROLLING RD, SUITE 106, CATONSVILLE, MD 21228-4140
(410) 744-4044
(410) 744-7923
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
D29769
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1157MD (GROUP)
CAREFIRST
MD
01
—
342001900
MEDICAL ASSISTANCE (SOLO # LINKED TO NPI 2)
MD
01
—
587P (GROUP)
MEDICARE
MD
01
—
DQ3021 (GROUP)
RAILROAD MEDICARE
GA
01
—
R704 (GROUP)
CAREFIRST
DC
Enumeration date
05/21/2007
Last updated
08/06/2010
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