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Individual

MARISA MEYER CLIFTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4940 EASTERN AVE BLDG 3, BALTIMORE, MD 21224-2735
(410) 550-7739
Mailing address
9910 FRANKLIN SQUARE DR STE 2110, BALTIMORE, MD 21236-4902
(410) 933-6423

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
52960
MN
208800000X
Urology Physician
Primary
D87908
MD
208800000X
Urology Physician
MD457663
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00954331
RAILROAD MEDICARE
MN
Enumeration date
04/08/2008
Last updated
08/16/2019
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