Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | D0006997 | MD |
NPI | 1033329586 |
---|---|
Provider Name | Dr. Robert Lee Marcus |
First Address | Baltimore, MD 21224-0807 |
Second Address | Baltimore, MD 21222-2132 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D76285 | (02) | MD |