Basic Information
Provider Information
NPI: 1700043908
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCDONALD
FirstName: MARCELA
MiddleName: ARGELE'S
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8110 MAPLE LAWN BLVD STE 235
Address2:  
City: FULTON
State: MD
PostalCode: 207592694
CountryCode: US
TelephoneNumber: 3013408339
FaxNumber: 3013409027
Practice Location
Address1: 7625 MAPLE LAWN BLVD STE 1
Address2:  
City: FULTON
State: MD
PostalCode: 207592565
CountryCode: US
TelephoneNumber: 4105317557
FaxNumber: 4105310818
Other Information
ProviderEnumerationDate: 05/16/2008
LastUpdateDate: 12/14/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/14/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207V00000XD0070604MDY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


Home