Provider Demographics
NPI:1346246089
Name:LOEV, MARC ALEXANDER (MD)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:ALEXANDER
Last Name:LOEV
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:11350 MCCORMICK RD
Mailing Address - Street 2:EXECUTIVE PLAZA, SUITE 501
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21031-1002
Mailing Address - Country:US
Mailing Address - Phone:301-881-7246
Mailing Address - Fax:301-881-2449
Practice Address - Street 1:11921 ROCKVILLE PIKE
Practice Address - Street 2:SUITE 505
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-2737
Practice Address - Country:US
Practice Address - Phone:301-881-7246
Practice Address - Fax:301-881-2449
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2019-12-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0052141208VP0014X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC000BO4C27Medicare PIN
MD265110700Medicaid
MD658L267DMedicare PIN
MD165P383GMedicare PIN
MD050056989OtherRAILROAD MEDICARE
MD54869103OtherBLUE CORSS
MDG35591Medicare UPIN
MDF220-0001OtherBLUE CROS REGIONAL