Roenneburg, Marcella Lila

Roenneburg, Marcella Lila is an individual health care provider with primary practice located at 1647 Woodbrooke Dr , Salisbury MD 21804-8502. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Roenneburg, Marcella Lila can be contacted via phone (410) 546-2424.

Contact Information

Primary practice address
1647 Woodbrooke Dr Salisbury MD 21804-8502
Phone: (410) 546-2424
Fax: (410) 742-6633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X D0027276 Maryland
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X D0027276 Maryland

Profile Details

NPI number 1609814326
LBN Legal business name Roenneburg, Marcella Lila
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Jan 24th, 2022 - about 4 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 1609814326 NPPES
Maryland MEDICAID 119591300

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