Basic Information
| Provider Information | |||||||||
| NPI: | 1013185867 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MARCHANT | ||||||||
| FirstName: | MILFORD | ||||||||
| MiddleName: | HOWARTH | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2900 S HANOVER ST | ||||||||
| Address2: | |||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212251232 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4103508336 | ||||||||
| FaxNumber: | 4103507178 | ||||||||
| Practice Location | |||||||||
| Address1: | 2900 S HANOVER ST | ||||||||
| Address2: | |||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212251232 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4103508336 | ||||||||
| FaxNumber: | 4103507178 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/14/2008 | ||||||||
| LastUpdateDate: | 09/22/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | MD038072 | DC | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207XX0005X | MD038072 | DC | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Sports Medicine | 207X00000X | A104485 | CA | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207X00000X | D0068990 | MD | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207XX0005X | A104485 | CA | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Sports Medicine | 207XX0005X | D0068990 | MD | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Sports Medicine | 207X00000X | 2010-00674 | NC | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207XX0005X | 2010-00674 | NC | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Sports Medicine |
No ID Information.