| Doctor Name: | DR. MARLENE E GUBATA |
| NPI Number: | 1629225255 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D., M.P.H. |
| License Number: | 0101241356 |
| Business Practice Address: | 4301 Jones Bridge Rd Rm A1040a Bethesda, MD - 208144712 |
| Business Phone Number: | 6173043935 |
| Business Fax Number: | |
| Mailing Address: | 4301 Jones Bridge Rd, Rm A1040a BETHESDA |
| State: | MD |
| Postal Code: | 208144712 |
| Phone Number: | 6173043935 |
| Fax Number: | |
| NPI Enumeration Date: | 08/26/2008 |
| NPI Last Update Date: | 08/26/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0101241356 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |