Individual
DR. ELISABETH BREESE MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 955-6626
Mailing address
PO BOX 64227, BALTIMORE, MD 21264-4227
(410) 955-6626
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
D72024
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058830000
—
MD
Enumeration date
05/04/2007
Last updated
03/01/2013
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