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Individual

MARY ELIZABETH BRACKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2015 MARTINS GRANT CT, CROWNSVILLE, MD 21032
(410) 721-6353
(410) 721-2071
Mailing address
3357 S WAKEFIELD ST, ARLINGTON, VA 22206-1718
(240) 304-0165

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101046739
VA
207R00000X
Internal Medicine Physician
Primary
D0042596
MD

Other

Enumeration date
07/03/2007
Last updated
08/29/2018
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