21D0936539 CLIA NUMBER - MARCELINO D ALBUERNE MD PA MARCELINO D ALBUERNE MD

Laboratory Demographics

CLIA Number: 21D0936539

Facility Name: MARCELINO D ALBUERNE MD PA MARCELINO D ALBUERNE MD

Facility Address:
516 N ROLLING ROAD STE 106
BALTIMORE, MD
ZIP 21228
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Facility Phone Number: 410 744-4044

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1306817341

Taxonomy: 207RG0300X - Internal Medicine
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

CLIA Record

Field Name	Field Value
CLIA Number	21D0936539
LAB Type	Physician Office
Facility Name	MARCELINO D ALBUERNE MD PA MARCELINO D ALBUERNE MD
Street	516 N ROLLING ROAD STE 106
City	BALTIMORE
State	MD
ZIP	21228
Phone	410 744-4044
CertificateType	4
CertificateEffectiveDate	11/24/2023
CertificateExpirationDate	11/23/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024