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Contact Information

MARLA R JASSEN, DPM
5601 LOCH RAVEN BOULEVARD
SUITE 400
BALTIMORE, MD21239
 Phone: 410-433-2500
 Fax: 410-433-4692
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MARLA R JASSEN · (Female)

NPI # 1861562910
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 11/08/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MD License # 00659
  • MD Other H792 BLUE CROSS
  • MD Other E602 NATIONAL CAP BLUE
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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