Healthcare Provider Details

I. General information

NPI: 1275775611
Provider Name (Legal Business Name): MARILYN ANGELI BAIRD-HOWELL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2009
Last Update Date: 09/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100-W PENNSYLVANIA AVENUE NW 5TH FLOOR, SUITE 5027
WASHINGTON DC
20037
US

IV. Provider business mailing address

20 BRATTLE AVE
EWING NJ
08638-2202
US

V. Phone/Fax

Practice location:
  • Phone: 202-994-3391
  • Fax:
Mailing address:
  • Phone: 862-686-8626
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberMD441818
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberMD040804
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: