Albert John Marcucci

Individual provider Active NPI Independent Duty Corpsman · Thurmont, MD

NPI 1851563530 · NPPES record last updated Nov 10, 2009

Key facts

NPI
1851563530
Entity type
Individual (NPI type 1)
Primary specialty
Independent Duty Corpsman 1710I1002X
Practice address
14900 Park Central Rd
Thurmont, MD 21788-1501
Phone
(301) 271-1460
NPI assigned
Apr 2, 2008
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Corpsman 1710I1002X Yes

Addresses

Primary practice location

14900 Park Central Rd
Thurmont, MD 21788-1501

Mailing address

PO Box 1000
Thurmont, MD 21788-5001
Phone (301) 271-1460

Other providers in Thurmont, MD

All providers in Thurmont, MD · Independent Duty Corpsman in Maryland

Sources for this page

Verify at the official NPI Registry.