Provider Demographics
NPI:1134107956
Name:MARMON, LOUIS M (MD)
Entity type:Individual
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First Name:LOUIS
Middle Name:M
Last Name:MARMON
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Gender:M
Credentials:MD
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Mailing Address - Street 1:9715 MEDICAL CENTER DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3320
Mailing Address - Country:US
Mailing Address - Phone:301-762-2424
Mailing Address - Fax:301-340-6792
Practice Address - Street 1:500 UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-2360
Practice Address - Country:US
Practice Address - Phone:800-243-1455
Practice Address - Fax:717-531-4970
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2024-08-15
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Provider Licenses
StateLicense IDTaxonomies
VA01010462262086S0120X
MD412292086S0120X
TN720942086S0120X
PAMD027246E2086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery