Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 2914 | DC |
N | 1223P0700X | Prosthodontist | 5549 | MD |
N | 1223P0700X | Prosthodontist | DN6058 | FL |
NPI | 1043346489 |
---|---|
Provider Name | Dr. Gerald M Marlin |
First Address | Washington, DC 20015 |
Second Address | Washington, DC 20015 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2007 |
Last Update Date | 08/07/2007 |