Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | D0071044 | MD |
N | 207N00000X | Dermatologist | MA08230300 | NJ |
Y | 207ND0101X | MOHS-Micrographic Surgeon | D0071044 | MD |
NPI | 1386723591 |
---|---|
Provider Name | Dr. Jason Marquart |
First Address | Bethesda, MD 20817-7811 |
Second Address | Bethesda, MD 20817-7811 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2006 |
Last Update Date | 05/10/2020 |