| Marcellus R Cephas Md Llc | |
|
1916 Crain Highway Suite 12 Glen Burnie MD 21061-5563 | |
| (410) 487-6302 | |
| (301) 576-7397 |
| Full Name | Marcellus R Cephas Md Llc |
|---|---|
| Speciality | Psychologist - Prescribing (medical) |
| Location | 1916 Crain Highway, Glen Burnie, Maryland |
| Authorized Official Name and Position | Marcellus Ryan Cephas (MEDICAL DIRECTOR, OWNER) |
| Authorized Official Contact | 3018912077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marcellus R Cephas Md Llc 7610 Carroll Avenue Suite 470 Takoma Park MD 20912 Ph: (301) 891-2077 | Marcellus R Cephas Md Llc 1916 Crain Highway Suite 12 Glen Burnie MD 21061-5563 Ph: (410) 487-6302 |
| NPI Number | 1821479635 |
|---|---|
| Provider Enumeration Date | 06/17/2015 |
| Last Update Date | 07/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821479635 | NPI | - | NPPES |
| 803307201 | Medicaid | MD | |
| G01202 | Other | MD | P/10 |
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