MEDICARE: DR. ANGELA MICHELLE MARSHALL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	215911	MD

General Provider Information

NPI Number	:	1285610568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANGELA MICHELLE MARSHALL M.D.

Provider Business Mailing Address
First Line	:	4300 CLAGETT PINE WAY
Second Line	:
City	:	UNIVERSITY PARK
State	:	MD
Zip	:	20782-1100
Country	:	US
Telephone Number	:	301-699-5322
Fax Number	:

Provider Business Practice Location Address
First Line	:	2101 MEDICAL PARK DR
Second Line	:	SUITE 300E
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-4053
Country	:	US
Telephone Number	:	301-754-2222
Fax Number	:	301-754-2011

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2005
Last Update Date	:	07/02/2008

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