Provider Demographics
NPI:1841492691
Name:MANAGEMENT,MARKETING,MEDICAL,AND ACCOUNTING SERVICES LLC
Entity type:Organization
Organization Name:MANAGEMENT,MARKETING,MEDICAL,AND ACCOUNTING SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RAUTHAI
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-872-7800
Mailing Address - Street 1:501 CHERRY HILL RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21225-1211
Mailing Address - Country:US
Mailing Address - Phone:443-872-7800
Mailing Address - Fax:443-872-7803
Practice Address - Street 1:501 CHERRY HILL RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21225-1211
Practice Address - Country:US
Practice Address - Phone:443-872-7800
Practice Address - Fax:443-872-7803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0024148174400000X
MDD18885174400000X
MDD0018850174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty