Healthcare Provider Details

I. General information

NPI: 1730457102
Provider Name (Legal Business Name): FRANCESCO MARIA MARINCOLA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2011
Last Update Date: 12/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9000 ROCKVILLE PIKE
BETHESDA MD
20892-0001
US

IV. Provider business mailing address

9000 ROCKVILLE PIKE
BETHESDA MD
20892-0001
US

V. Phone/Fax

Practice location:
  • Phone: 301-451-4967
  • Fax: 301-402-1360
Mailing address:
  • Phone: 301-451-4967
  • Fax: 301-402-1360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License NumberA40635
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: