Provider Demographics
NPI:1558505370
Name:PLAUT, MARSHALL (MD)
Entity Type:Individual
Prefix:DR
First Name:MARSHALL
Middle Name:
Last Name:PLAUT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6610 ROCKLEDGE DR
Mailing Address - Street 2:ROOM 6421, MSC 6601
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-6601
Mailing Address - Country:US
Mailing Address - Phone:301-435-4425
Mailing Address - Fax:301-402-0175
Practice Address - Street 1:6610 ROCKLEDGE DR
Practice Address - Street 2:ROOM 6421, MSC 6601
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-6601
Practice Address - Country:US
Practice Address - Phone:301-435-4425
Practice Address - Fax:301-402-0175
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-23
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0010458207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology