Provider Demographics
NPI:1295824316
Name:SEIDELMAN, MARSHA JOYCE (MD)
Entity Type:Individual
Prefix:DR
First Name:MARSHA
Middle Name:JOYCE
Last Name:SEIDELMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:MARSHA
Other - Middle Name:JOYCE
Other - Last Name:SCHEINMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8010 SUMMER MILL COURT
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817
Mailing Address - Country:US
Mailing Address - Phone:301-320-6230
Mailing Address - Fax:
Practice Address - Street 1:10605 CONCORD ST STE 302
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-2532
Practice Address - Country:US
Practice Address - Phone:443-914-4110
Practice Address - Fax:443-914-4111
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0036816207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD234031300Medicaid
B94375Medicare UPIN