| Marlene G Desamito M D L L C | |
|
3311 Toledo Ter Suite C105 Hyattsville MD 20782-4135 | |
| (301) 559-2515 | |
| (301) 559-2517 |
| Full Name | Marlene G Desamito M D L L C |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3311 Toledo Ter, Hyattsville, Maryland |
| Authorized Official Name and Position | Marlene G. Desamito (OWNER) |
| Authorized Official Contact | 2404631547 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marlene G Desamito M D L L C 3311 Toledo Ter Suite C 105 Hyattsville MD 20782-4135 Ph: (301) 559-2515 | Marlene G Desamito M D L L C 3311 Toledo Ter Suite C105 Hyattsville MD 20782-4135 Ph: (301) 559-2515 |
| NPI Number | 1356516470 |
|---|---|
| Provider Enumeration Date | 04/29/2008 |
| Last Update Date | 04/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356516470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | D0053700 (Maryland) | Primary |
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