Provider Demographics
NPI:1528179850
Name:MARANA, ADELMO CRUZ (MD)
Entity Type:Individual
Prefix:
First Name:ADELMO
Middle Name:CRUZ
Last Name:MARANA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7600 OSLER DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-7701
Mailing Address - Country:US
Mailing Address - Phone:410-821-7188
Mailing Address - Fax:410-821-7185
Practice Address - Street 1:7600 OSLER DR
Practice Address - Street 2:SUITE 202
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-7701
Practice Address - Country:US
Practice Address - Phone:410-821-7188
Practice Address - Fax:410-821-7185
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD20446207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
227RMedicare ID - Type Unspecified
D01328Medicare UPIN