Provider Demographics
NPI:1578534590
Name:LITTMAN, MARSHALL J (MD)
Entity Type:Individual
Prefix:DR
First Name:MARSHALL
Middle Name:J
Last Name:LITTMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3860 CALLE FORTUNADA
Mailing Address - Street 2:#200
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123
Mailing Address - Country:US
Mailing Address - Phone:858-636-4300
Mailing Address - Fax:858-636-4319
Practice Address - Street 1:15525 POMERADO RD
Practice Address - Street 2:#B 1
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064
Practice Address - Country:US
Practice Address - Phone:858-673-3340
Practice Address - Fax:858-673-1075
Is Sole Proprietor?:No
Enumeration Date:2006-01-28
Last Update Date:2011-02-01
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Provider Licenses
StateLicense IDTaxonomies
CAG36620208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG36620OtherMD LICENSE
CAG36620OtherMD LICENSE