Individual
DR. MARLENE JOY SEVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
201 N WASHINGTON ST, KAISER PERMANENTE MEDICAL CENTER, FALLS CHURCH, VA 22046-4518
(703) 237-4000
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-7405
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101238982
VA
2085R0202X
Diagnostic Radiology Physician
D0043279
MD
2085R0202X
Diagnostic Radiology Physician
MD037497
DC
Other
Enumeration date
07/05/2006
Last updated
12/06/2012
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