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Individual

DR. MARISSA AMELIA WATTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5755 CEDAR LN, COLUMBIA, MD 21044-2912
(410) 720-8695
(410) 720-8580
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301101114
MI
207R00000X
Internal Medicine Physician
Primary
D80923
MD

Other

Enumeration date
04/20/2012
Last updated
01/15/2025
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