Individual
MANNA MARY VARGHESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 318-9147
Mailing address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 318-9147
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D0097019
MD
Other
Enumeration date
04/06/2020
Last updated
03/15/2024
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