Organization
CHARLES B MAREK JR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES B MAREK JR. MD (PRESIDENT)
(410) 256-3200
Entity
Organization
Contact information
Practice address
9712 BELAIR RD, SUITE 100, BALTIMORE, MD 21236-1111
(410) 256-3200
(410) 529-2462
Mailing address
9712 BELAIR RD, SUITE 100, BALTIMORE, MD 21236-1111
(410) 256-3200
(410) 529-2462
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D0013067
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
369A
BLUE SHIELD
MD
01
—
J380
BLUE CHOICE
MD
Enumeration date
02/11/2008
Last updated
02/14/2008
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