Provider Demographics
NPI:1023120284
Name:MARKMAN, MARTA I (MD)
Entity type:Individual
Prefix:
First Name:MARTA
Middle Name:I
Last Name:MARKMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARTA
Other - Middle Name:I
Other - Last Name:MARKMAN-MOSQUERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:795 AQUAHART RD STE 205
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-3953
Mailing Address - Country:US
Mailing Address - Phone:410-590-8826
Mailing Address - Fax:410-768-1949
Practice Address - Street 1:795 AQUAHART RD STE 205
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-3953
Practice Address - Country:US
Practice Address - Phone:410-590-8826
Practice Address - Fax:410-768-1949
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD40327208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD081741400Medicaid
E78411Medicare UPIN