Provider Demographics
NPI:1134118417
Name:CARLINI, MARGARET THERESA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:THERESA
Last Name:CARLINI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:MARGARET
Other - Middle Name:THERESA
Other - Last Name:LAMMOND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8926 WOODYARD RD
Mailing Address - Street 2:SUITE 701
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-4220
Mailing Address - Country:US
Mailing Address - Phone:301-856-1682
Mailing Address - Fax:301-856-8214
Practice Address - Street 1:9455 LORTON MARKET ST
Practice Address - Street 2:
Practice Address - City:LORTON
Practice Address - State:VA
Practice Address - Zip Code:22079-1963
Practice Address - Country:US
Practice Address - Phone:301-856-1682
Practice Address - Fax:703-339-6351
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01010455242081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
176608OtherMETRO MEDICARE GROUP PROVIDER #
46950037OtherCAREFIRST NCA
P00887811OtherRAILROAD MEDICARE PTAN
641121YZWOtherMEDICARE PTAN
0254450002Medicare NSC
641121YZWOtherMEDICARE PTAN
176608OtherMETRO MEDICARE GROUP PROVIDER #
CI2264Medicare PIN