Individual
MARCELA MORADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2945
(443) 444-4060
Mailing address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2945
(443) 444-4060
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0004442
MD
363AM0700X
Medical Physician Assistant
PA030730
DC
Other
Enumeration date
04/28/2011
Last updated
07/21/2022
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