Provider Demographics
NPI:1932173952
Name:ROCHE, MARLA (DO)
Entity Type:Individual
Prefix:
First Name:MARLA
Middle Name:
Last Name:ROCHE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:MARLA
Other - Middle Name:
Other - Last Name:BRODY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:3707 WOODRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902
Mailing Address - Country:US
Mailing Address - Phone:301-946-5857
Mailing Address - Fax:
Practice Address - Street 1:8401 CONNECTICUT AVE
Practice Address - Street 2:#201
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20902
Practice Address - Country:US
Practice Address - Phone:301-907-3960
Practice Address - Fax:301-652-4933
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH0061841208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics