Individual
DR. MARJORIE KLAVER WARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1001 PINE HEIGHTS AVE, SUITE 101, BALTIMORE, MD 21229-5208
(410) 644-9515
Mailing address
1001 PINE HEIGHTS AVE, SUITE 101, BALTIMORE, MD 21229-5208
(410) 644-9515
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D0047547
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3134182
MAMSI
MD
05
—
408909000
—
MD
01
—
5322-0008
FEDERAL BLUE CROSS
DC
Enumeration date
02/23/2006
Last updated
05/05/2011
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