MEDICARE: DR. MARC STEPHEN POSNER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	D19640	MD

General Provider Information

NPI Number	:	1114930211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARC STEPHEN POSNER M.D.

Provider Business Mailing Address
First Line	:	1147 S HANOVER ST
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21230-3717
Country	:	US
Telephone Number	:	410-752-5425
Fax Number	:	410-625-9042

Provider Business Practice Location Address
First Line	:	1147 S HANOVER ST
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21230-3717
Country	:	US
Telephone Number	:	410-752-5425
Fax Number	:	410-625-9042

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2006
Last Update Date	:	12/19/2007

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