Individual
MARISSA MINOPOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010
(410) 955-5500
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0009552
MD
Other
Enumeration date
06/06/2024
Last updated
08/26/2024
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