Provider Demographics
NPI:1851644652
Name:MARISSA R. O'MALIA PC
Entity Type:Organization
Organization Name:MARISSA R. O'MALIA PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT/
Authorized Official - Prefix:DR
Authorized Official - First Name:MARISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:O'MALIA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:202-887-5375
Mailing Address - Street 1:2440 M ST NW
Mailing Address - Street 2:SUITE 807
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-1475
Mailing Address - Country:US
Mailing Address - Phone:202-887-5375
Mailing Address - Fax:202-887-1833
Practice Address - Street 1:2440 M ST NW
Practice Address - Street 2:SUITE 807
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1475
Practice Address - Country:US
Practice Address - Phone:202-887-5375
Practice Address - Fax:202-887-1833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-18
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty