Gwynn, Marjorie Bernadette

Gwynn, Marjorie Bernadette is an individual health care provider with primary practice located at 7671 Quarterfield Road Suite 200, Glen Burnie MD 21061. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Gwynn, Marjorie Bernadette can be contacted via phone (410) 766-0111.

Contact Information

Primary practice address
7671 Quarterfield Road Suite 200 Glen Burnie MD 21061
Phone: (410) 766-0111
Fax: (410) 582-9155
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X D0057741 Maryland

Profile Details

NPI number 1619945557
LBN Legal business name Gwynn, Marjorie Bernadette
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Apr 13th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619945557 NPPES
Maryland MEDICAID 699816000

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