Provider Demographics
NPI:1083051148
Name:MARCELO, CATHERINE JOY (MD)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:JOY
Last Name:MARCELO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 980102
Mailing Address - Street 2:IM: INTERNAL MEDICINE
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23298-0102
Mailing Address - Country:US
Mailing Address - Phone:804-828-3144
Mailing Address - Fax:804-828-8660
Practice Address - Street 1:417 N 11TH ST
Practice Address - Street 2:IM: INTERNAL MEDICINE CLINIC
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5002
Practice Address - Country:US
Practice Address - Phone:804-828-8786
Practice Address - Fax:804-828-5466
Is Sole Proprietor?:No
Enumeration Date:2013-05-30
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101260617207R00000X
VA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine