Healthcare Provider Details

I. General information

NPI: 1902734379
Provider Name (Legal Business Name): PHILLIP L MARSIGLIA PD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

602 CHERRY HILL RD
BALTIMORE MD
21225-1229
US

IV. Provider business mailing address

3910 DANCE MILL RD
PHOENIX MD
21131-2116
US

V. Phone/Fax

Practice location:
  • Phone: 667-400-7474
  • Fax: 667-400-7475
Mailing address:
  • Phone: 410-274-9404
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number08390
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: