MEDICARE: DR. EMILY KATHLEEN MARKO 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	207V00000X	Obstetrics & Gynecology Physician	0101051658	VA

General Provider Information

NPI Number	:	1659526382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMILY KATHLEEN MARKO M.D.

Provider Business Mailing Address
First Line	:	2902 OAK SHADOW DR
Second Line	:
City	:	OAK HILL
State	:	VA
Zip	:	20171-4200
Country	:	US
Telephone Number	:	703-408-0249
Fax Number	:

Provider Business Practice Location Address
First Line	:	2902 OAK SHADOW DR
Second Line	:
City	:	OAK HILL
State	:	VA
Zip	:	20171-4200
Country	:	US
Telephone Number	:	703-408-0249
Fax Number	:

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

Provider Enumeration Date	:	11/21/2008
Last Update Date	:	11/21/2008

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