Provider Demographics
NPI:1225087885
Name:RIBEIRO, MARCIA C (MD)
Entity Type:Individual
Prefix:DR
First Name:MARCIA
Middle Name:C
Last Name:RIBEIRO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1777 REISTERSTOWN RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-1306
Mailing Address - Country:US
Mailing Address - Phone:410-602-1999
Mailing Address - Fax:410-602-1966
Practice Address - Street 1:1777 REISTERSTOWN RD
Practice Address - Street 2:SUITE 104
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208
Practice Address - Country:US
Practice Address - Phone:410-602-1999
Practice Address - Fax:410-602-1966
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00517632084N0400X
ORMD2131702084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD086NMedicare ID - Type Unspecified
MDG15360Medicare UPIN