Organization
MARCELLUS R. CEPHAS, MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCELLUS CEPHAS M.D. (MEDICAL DIRECTOR)
(301) 891-2077
Entity
Organization
Contact information
Practice address
1405 MADISON PARK DR, SUITE 1B, GLEN BURNIE, MD 21061-5627
(410) 487-6302
(301) 891-2080
Mailing address
7610 CARROLL AVE STE 200, TAKOMA PARK, MD 20912-6312
(301) 891-2077
(301) 891-2080
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402288201
—
MD
Enumeration date
05/21/2015
Last updated
05/21/2015
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