Provider Demographics
NPI:1881730521
Name:SOLAGES, MARTINE MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:MARTINE
Middle Name:MARIE
Last Name:SOLAGES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10903 NEW HAMPSHIRE AVENUE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20993
Mailing Address - Country:US
Mailing Address - Phone:301-796-2260
Mailing Address - Fax:
Practice Address - Street 1:10903 NEW HAMPSHIRE AVENUE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20993
Practice Address - Country:US
Practice Address - Phone:301-796-2260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2018-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD040548208000000X, 2084P0800X, 2084P0804X
CT0467912084P0800X
MDD742352084P0800X
MDD00742352084P0800X, 208000000X, 2084P0804X
MDP20253208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDP20253OtherUMP