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Individual

MS. MARLA ANN MUHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
255 HOSPITAL DR # 207, GLEN BURNIE, MD 21061-5801
(410) 553-8170
(410) 553-8171
Mailing address
301 HOSPITAL DR # 803, GLEN BURNIE, MD 21061-5803
(410) 553-8160
(410) 553-8159

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA168081
OR
363A00000X
Physician Assistant
363AM0700X
Medical Physician Assistant
C05196
MD
363AS0400X
Surgical Physician Assistant
Primary
C05196
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1407812365
GROUP NPI NORTH BEND MEDICAL CENTER
OR
01
161133
GROUP MEDICAID NORTH BEND MEDICAL CENTER
OR
05
500672853
OR
01
93-0635514
GROUP TAX ID NORTH BEND MEDICAL CENTER
OR
01
P01365786
RAILROAD MEDICARE
OR
01
R0000WFBTV
GROUP MEDICARE NORTH BEND MEDICAL CENTER
OR
Enumeration date
09/16/2013
Last updated
10/19/2022
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