Provider Demographics
NPI:1134465131
Name:MARSHA PLATER AND ASSOCIATES
Entity Type:Organization
Organization Name:MARSHA PLATER AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTRACT & CREDENTIALING COORD
Authorized Official - Prefix:
Authorized Official - First Name:MARIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CONNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-414-4791
Mailing Address - Street 1:PO BOX 483
Mailing Address - Street 2:2553 NORTH SOLOMONS ISLAND ROAD
Mailing Address - City:HUNTINGTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20639-0483
Mailing Address - Country:US
Mailing Address - Phone:410-535-1990
Mailing Address - Fax:301-855-9119
Practice Address - Street 1:2553 SOLOMONS ISLAND ROAD
Practice Address - Street 2:
Practice Address - City:HUNTINGTOWN
Practice Address - State:MD
Practice Address - Zip Code:20639
Practice Address - Country:US
Practice Address - Phone:410-535-1990
Practice Address - Fax:301-855-9119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-19
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental