Individual provider · Type 1 NPI

Marianne Rallas

Medical Physician Assistant · Frederick, MD

NPI number 1376570853 Active

Practice location

501 W 7th St
Frederick, MD 21701

Fax (240) 439-8910

Mailing address

PO Box 37086
Baltimore, MD 21297-3086

Other practice locations

  • 85 Thomas Johnson Ct, Suite B, Frederick, MD 21702-4331 · (301) 663-9440
  • 85 Thomas Johnson Ct, Suite B, Frederick, MD 21702-4331 · (301) 663-9440

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000XC0001065 (MD)
Medical Physician Assistant Primary 363AM0700XC01065 (MD)

Medical Physician Assistant: Definition to come...

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About NPI 1376570853

Marianne Rallas's National Provider Identifier is 1376570853, issued on Jun 28, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Frederick, MD. The record was last updated on Jul 30, 2019.