Gonzalez-Fernandez, Marlis
Gonzalez-Fernandez, Marlis is an individual health care provider with primary practice located at 5601 Loch Raven Blvd , Baltimore MD 21239-2905. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Gonzalez-Fernandez, Marlis can be contacted via phone (410) 532-4701.Contact Information
Primary practice address
5601 Loch Raven Blvd
Baltimore MD 21239-2905
Phone: (410) 532-4701
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | D61807 | Maryland |
Profile Details
| NPI number | 1861444887 |
|---|---|
| LBN Legal business name | Gonzalez-Fernandez, Marlis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Jan 24th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861444887 | NPPES |
| Maryland | MEDICAID | 407206500 |
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