Provider Demographics
NPI:1548200199
Name:SCHLOSBERG, MARC F (MD)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:F
Last Name:SCHLOSBERG
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 1:106 IRVING ST NW
Mailing Address - Street 2:SUITE 421 SOUTH
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2927
Mailing Address - Country:US
Mailing Address - Phone:202-877-5119
Mailing Address - Fax:202-723-6686
Practice Address - Street 1:106 IRVING ST NW
Practice Address - Street 2:SUTIE 421 SOUTH
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2927
Practice Address - Country:US
Practice Address - Phone:202-877-5119
Practice Address - Fax:202-723-6686
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD303812084N0400X, 2084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC07625OtherAMERICHOICE
MD756281100Medicaid
DC314046OtherUNITED HEALTHCARE
DC4335082OtherAETNA
DC25689500Medicaid
MD52507001OtherBLUE CROSS BLUE SHIELD
DC25820087OtherCARE FIRST
MD52507001OtherBLUE CROSS BLUE SHIELD
DC25820087OtherCARE FIRST