Provider Demographics
NPI:1740516392
Name:CPP, INC.
Entity type:Organization
Organization Name:CPP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:MARVEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-353-7266
Mailing Address - Street 1:2217 SAMANTHA WAY
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-1718
Mailing Address - Country:US
Mailing Address - Phone:410-480-9762
Mailing Address - Fax:410-480-4779
Practice Address - Street 1:132 HOLIDAY CT
Practice Address - Street 2:SUITE 210
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7005
Practice Address - Country:US
Practice Address - Phone:410-353-7266
Practice Address - Fax:410-480-4779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-02
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD51388207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty