Provider Demographics
NPI:1265694608
Name:MAINOLFI - PALARATA, MARIA B (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:B
Last Name:MAINOLFI - PALARATA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:B
Other - Last Name:MAINOLFI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:203 E 39TH ST STE F
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-1823
Mailing Address - Country:US
Mailing Address - Phone:774-291-4348
Mailing Address - Fax:410-252-7410
Practice Address - Street 1:1830 YORK RD
Practice Address - Street 2:SUITE F
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-5115
Practice Address - Country:US
Practice Address - Phone:410-252-4015
Practice Address - Fax:410-252-7410
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD81680207R00000X, 2083X0100X
NY2661342083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine