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NPI Code Detail

MEDICARE: MARCUS INSTITUTE FOR DEVELOPMENT AND LEARNING INC

MEDICARE: MARCUS INSTITUTE FOR DEVELOPMENT AND LEARNING INC
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
1261QD1600XDevelopmental Disabilities Clinic/Center

General Provider Information

NPI Number : 1790883031
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARCUS INSTITUTE FOR DEVELOPMENT AND LEARNING INC
Provider Business Mailing Address
First Line : 2931 E BIDDLE ST
Second Line : PATIENT ACCOUNTING - HELENA PORTER
City : BALTIMORE
State : MD
Zip : 21213-3939
Country : US
Telephone Number : 443-923-1886
Fax Number : 443-923-1875
Provider Business Practice Location Address
First Line : 1920 BRIARCLIFF RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30329-4010
Country : US
Telephone Number : 404-419-4000
Fax Number : 404-419-4505
Authorized Official
Title or Position : VICE PRESIDENT - FINANCE
Name : MR. MICHAEL J NEUMAN
Credential :
Telephone Number : 443-923-1810
Provider Enumeration Date : 09/20/2006
Last Update Date : 08/22/2020

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Directions to “MARCUS INSTITUTE FOR DEVELOPMENT AND LEARNING INC ” Practice Location

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