Provider Demographics
NPI:1952869935
Name:KREMZNER, MARY E (PHARMD, MPH, BCGP)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:E
Last Name:KREMZNER
Suffix:
Gender:F
Credentials:PHARMD, MPH, BCGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 BENFIELD RD
Mailing Address - Street 2:
Mailing Address - City:SEVERNA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:21146-2204
Mailing Address - Country:US
Mailing Address - Phone:410-365-9323
Mailing Address - Fax:
Practice Address - Street 1:6716 RITCHIE HWY
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-2319
Practice Address - Country:US
Practice Address - Phone:443-572-0600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-08
Last Update Date:2019-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD111241835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric