Individual
DR. MARCELO G. CARDARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 ORLEANS STREET, BALTIMORE, MD 21264-1205
(410) 502-2037
(410) 955-0737
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D45046
MD
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
0101258749
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015
CAREFIRST REGIONAL
MD
05
—
1000034726
—
DE
01
—
112716
US HLTHCARE
MD
01
—
1752257
UNITED HLTHCARE NATIONAL
MD
01
—
1800123
UNITED HLTHCARE
MD
01
—
214328
KAISER
MD
01
—
418316
MDIPA
MD
01
—
52858903
BLUE SHIELD
MD
05
—
653881900
—
MD
01
—
80005
GEISINGER
MD
Enumeration date
07/30/2006
Last updated
10/28/2024
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