Gonzalez-Fernandez, Marlis

Gonzalez-Fernandez, Marlis is an individual health care provider with primary practice located at 5601 Loch Raven Blvd , Baltimore MD 21239-2905. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Gonzalez-Fernandez, Marlis can be contacted via phone (410) 532-4701.

Contact Information

Primary practice address
5601 Loch Raven Blvd Baltimore MD 21239-2905
Phone: (410) 532-4701
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X D61807 Maryland

Profile Details

NPI number 1861444887
LBN Legal business name Gonzalez-Fernandez, Marlis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jan 24th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861444887 NPPES
Maryland MEDICAID 407206500

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