Organization
MARVIN CHADAB MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN CHADAB MD (PRESIDENT)
(301) 567-2774
Entity
Organization
Contact information
Practice address
6130 OXON HILL RD, SUITE 201, OXON HILL, MD 20745-3168
(301) 567-2774
(301) 567-4498
Mailing address
6130 OXON HILL RD, SUITE 201, OXON HILL, MD 20745-3168
(301) 567-2774
(301) 567-4498
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
0101028798
VA
207N00000X
Dermatology Physician
Primary
D0020477
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252451100
—
MD
01
—
2803515
AETNA
TX
01
—
8084
GHMSI BLUE CROSS
MD
Enumeration date
09/25/2006
Last updated
11/01/2007
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