Marble Emergency Physicians, LLC

NPI #1154793008 in Randallstown, Maryland

Provider Information

NPI Number: 1154793008
Entity Type: Organization
Organization Name: Marble Emergency Physicians, LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Oct 30, 2015
Last Updated: Nov 19, 2015

Practice Location

Address: 5401 OLD COURT RD
City: Randallstown
State: Maryland
ZIP Code: 21133-5103
Phone: (469) 401-2386

Authorized Official

Name: RUSSELL HARRIS, M.D.
Title: OFFICER
Phone: (469) 401-2386

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Emergency Medicine	207P00000X	Primary

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