Provider Demographics
NPI:1902836042
Name:ALESSANDRONI, MARIAN CHRISTINE (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIAN
Middle Name:CHRISTINE
Last Name:ALESSANDRONI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6701 N CHARLES ST
Mailing Address - Street 2:SUITE 4105
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21204-6808
Mailing Address - Country:US
Mailing Address - Phone:443-849-6255
Mailing Address - Fax:443-849-3182
Practice Address - Street 1:6701 N CHARLES ST
Practice Address - Street 2:SUITE 4105
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21204-6808
Practice Address - Country:US
Practice Address - Phone:443-849-6255
Practice Address - Fax:443-849-3182
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101041499207RH0002X, 207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD039464OtherJHHC PRODUCTS
MD4092092OtherAETNA PPO
MD766400101Medicaid
MD8477294OtherAETNA HMO
MD0166125OtherAMERIGROUP
MD612884-03OtherCAREFIRST MARYLAND
MDX697-003OtherCAREFIRST DC
MD2361820Y5ZMedicare PIN
DC131837ZAS0Medicare PIN