Individual
MARVA A MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1100 MERCANTILE LANE, #160, UPPER MARLBORO, MD 20774-5380
(301) 583-0150
(301) 583-0348
Mailing address
1100 MERCANTILE LANE, #160, UPPER MARLBORO, MD 20774-5380
(301) 583-0150
(301) 583-0348
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16313
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147057500
DEPT PF LABOR WORKERS COM
MD
01
—
228752
MAMSI ALLIANCE PPO MDIPA
—
01
—
650011408
RAILROAD MEDICARE
MD
01
—
S4740001
BLUE CROSS BLUE SHIELD
DC
Enumeration date
02/22/2006
Last updated
06/12/2008
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