Doctor Name: | DR. MARCIA P GOLDMARK |
NPI Number: | 1023159472 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | D0025348 |
Business Practice Address: | 15020 Shady Grove Rd Suite 300 Rockville, MD - 208503364 |
Business Phone Number: | 3015451811 |
Business Fax Number: | |
Mailing Address: | 4823 Hornbeam Dr, ROCKVILLE |
State: | MD |
Postal Code: | 208531422 |
Phone Number: | 3019241109 |
Fax Number: | |
NPI Enumeration Date: | 02/09/2007 |
NPI Last Update Date: | 01/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | D0025348 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |