Healthcare Provider Details

I. General information

NPI: 1992007611
Provider Name (Legal Business Name): ADELMO MARANA M D P A
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2010
Last Update Date: 12/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7600 OSLER DR SUITE 202
TOWSON MD
21204-7735
US

IV. Provider business mailing address

7600 OSLER DR SUITE 202
TOWSON MD
21204-7735
US

V. Phone/Fax

Practice location:
  • Phone: 410-821-7188
  • Fax: 410-821-7185
Mailing address:
  • Phone: 410-821-7188
  • Fax: 410-821-7185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. ADELMO C MARANA
Title or Position: PRESIDENT
Credential: M.D.
Phone: 410-821-7188