Organization
MARCELLUS R. CEPHAS, MD LLC
Active
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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