Healthcare Provider Details

I. General information

NPI: 1346731460
Provider Name (Legal Business Name): MARNA SCHOEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2018
Last Update Date: 05/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 WOOD HILL RD
ROCKVILLE MD
20850-8724
US

IV. Provider business mailing address

200 WOOD HILL RD
ROCKVILLE MD
20850-8724
US

V. Phone/Fax

Practice location:
  • Phone: 301-838-4200
  • Fax: 301-468-1862
Mailing address:
  • Phone: 301-838-4200
  • Fax: 301-468-1862

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberG12425
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: