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Individual

MARLA R JASSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
5601 LOCH RAVEN BOULEVARD, SUITE 400, BALTIMORE, MD 21239
(410) 433-2500
(410) 433-4692
Mailing address
1 NORTH MAIN STREET, BEL AIR, MD 21014
(410) 803-0788
(410) 803-1859

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00659
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
E602
NATIONAL CAP BLUE
MD
01
H792
BLUE CROSS
MD
Enumeration date
11/08/2006
Last updated
07/08/2007
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