Organization
DRS MAURIELLO AND ORFAN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN S BEARD (CREDENTIALING)
(301) 790-1482
Entity
Organization
Contact information
Practice address
1125 DIAMOND DR, HAGERSTOWN, MD 21740-5857
(301) 790-1482
(301) 790-1377
Mailing address
1125 DIAMOND DR STE B, HAGERSTOWN, MD 21740-5857
(301) 790-1482
(301) 790-1377
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
761400400
—
MD
Enumeration date
08/18/2006
Last updated
05/01/2020
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