Provider Demographics
NPI:1679511620
Name:APPLESTEIN, MARC BRENT (MD)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:BRENT
Last Name:APPLESTEIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:25 CROSSROADS DR STE 306
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5437
Mailing Address - Country:US
Mailing Address - Phone:443-738-2872
Mailing Address - Fax:
Practice Address - Street 1:10710 CHARTER DR
Practice Address - Street 2:SUITE 130
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3128
Practice Address - Country:US
Practice Address - Phone:410-772-7000
Practice Address - Fax:410-772-7072
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2017-10-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0032691208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDE67753Medicare UPIN
MDKK88HN68Medicare PIN