Provider Demographics
NPI:1760448666
Name:PROTOPAPAS, MARINA (DO)
Entity Type:Individual
Prefix:DR
First Name:MARINA
Middle Name:
Last Name:PROTOPAPAS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:11350 MCCORMICK ROAD
Mailing Address - Street 2:EXECUTIVE PLAZA 1, SUITE 501
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21031
Mailing Address - Country:US
Mailing Address - Phone:410-329-1071
Mailing Address - Fax:410-329-1054
Practice Address - Street 1:3620 JOSEPH SIEWICK DR STE 101
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033
Practice Address - Country:US
Practice Address - Phone:703-343-4344
Practice Address - Fax:703-642-1876
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2021-07-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0102201844208100000X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation