Healthcare Provider Details

I. General information

NPI: 1013185867
Provider Name (Legal Business Name): MILFORD HOWARTH MARCHANT JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2008
Last Update Date: 09/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 S HANOVER ST
BALTIMORE MD
21225-1232
US

IV. Provider business mailing address

2900 S HANOVER ST
BALTIMORE MD
21225-1232
US

V. Phone/Fax

Practice location:
  • Phone: 410-350-8336
  • Fax: 410-350-7178
Mailing address:
  • Phone: 410-350-8336
  • Fax: 410-350-7178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD038072
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberMD038072
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA104485
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberD0068990
License Number StateMD
# 5
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberA104485
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberD0068990
License Number StateMD
# 7
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number2010-00674
License Number StateNC
# 8
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number2010-00674
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: