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Contact Information

MARIANNE RALLAS
501 W 7TH ST
FREDERICK, MD21701
 Phone: 301-698-8374
 Fax: 240-439-8910
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for MARIANNE RALLAS · (Female)

NPI # 1376570853
Status Active
Credentials
Entity Individual
Enumeration date 06/28/2006
Last updated 07/30/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MD License # C0001065
  • MD License # C01065
  • MD Medicaid 762671100
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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