Individual
DR. MARTHA S. SELONICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8850 COLUMBIA 100 PKWY, SUITE 301, COLUMBIA, MD 21045-2374
(301) 560-4747
(301) 776-1725
Mailing address
7350 VAN DUSEN RD, STE 130, LAUREL, MD 20707-5267
(301) 560-4747
(301) 776-1725
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D0019676
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257651100
—
MD
Enumeration date
04/17/2006
Last updated
04/04/2017
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