Individual
NATHANIEL MARFAL SUMILANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
115 W BEL AIR AVE, ABERDEEN, MD 21001-3221
(410) 272-3007
(410) 273-1479
Mailing address
115 W BEL AIR AVE, ABERDEEN, MD 21001-3221
(410) 272-3377
(410) 273-1479
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M53916
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000035663
—
DE
05
—
105300
—
MD
01
—
187729
AMERIGROUP
MD
01
—
2110064
MAMSI/ OPTIMUM CHOICE
MD
05
—
2282019
—
MD
01
—
30-0157915
ALL OTHERS
MD
05
—
402019700
—
MD
05
—
5316
—
MD
01
—
6251
FREE STATE/ MID ATLANTIC
MD
01
—
67191000000
PREFERRED HEALTH
MD
01
—
9301757002
CIGNA
MD
01
—
KEX5PR
BLUE CROSS
MD
Enumeration date
08/26/2005
Last updated
10/01/2012
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