Provider Demographics
NPI:1184142762
Name:MARIETA S CARAGAY,M.D.
Entity type:Organization
Organization Name:MARIETA S CARAGAY,M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MARIETA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARAGAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-355-2822
Mailing Address - Street 1:706 IVY HILL RD
Mailing Address - Street 2:
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21030-1509
Mailing Address - Country:US
Mailing Address - Phone:410-336-9175
Mailing Address - Fax:
Practice Address - Street 1:3455 WILKENS AVE STE 102
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-5204
Practice Address - Country:US
Practice Address - Phone:410-355-2822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-05
Last Update Date:2017-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty