Individual
ADE MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5310 OLD COURT RD STE 105, RANDALLSTOWN, MD 21133-5281
(443) 629-9243
Mailing address
PO BOX 26513, BALTIMORE, MD 21207-0313
(443) 629-9243
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R18213
MD
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
02/01/2014
Last updated
02/01/2014
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