Organization
M A VERARDI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARYANN VERARDI MD (OWNER)
(248) 821-2684
Entity
Organization
Contact information
Practice address
43344 WOODWARD AVE, BLOOMFIELD HILLS, MI 48302-5014
(248) 758-0730
(248) 758-2060
Mailing address
3120 FRANKTON DR, TROY, MI 48083-5072
(248) 821-2684
(248) 485-2060
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
4301082523
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0636475
BLUE CARE NETWORK
MI
05
—
1407039415
—
MI
01
—
4301082523
STATE LICENSE
MI
Enumeration date
01/31/2014
Last updated
01/31/2014
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