person
Mrs. Renee Wagner Macsorley
Ocularist in Upper Marlboro, Maryland
NPI 1437316957

Renee Wagner Macsorley is a Ocularist based in Upper Marlboro, MD and is specialized in Ocularist. Renee Wagner Macsorley practices in Upper Marlboro, MD. The NPI Number for Renee Wagner Macsorley is 1437316957 and holds a License No. (Maryland).

The current practice location address for Renee Wagner Macsorley is 9450 Pennsylvania Ave, Upper Marlboro, MD and can be reached out via phone at 301-599-6300.

Location: 9450 Pennsylvania Ave, Upper Marlboro, MD, 20772-3665
person
Provider Profile Details
NPI Number
1437316957
Provider Name
Renee Wagner Macsorley
Credential
Provider Entity Type
Individual
Gender
Female
Address
9450 Pennsylvania Ave, Upper Marlboro, MD, 20772-3665
Phone Number
301-599-6300
Fax Number
Provider Enumeration Date
05/21/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
023053600 05 DC
30877 01 MD KAISER PERMANENTE
468228900 05 MD
406540466 01 DC MEDICARE RR
institution
Provider Business Practice Location Address Details
Address
9450 Pennsylvania Ave
City
State
Zip
20772-3665
Phone Number
301-599-6300
Fax Number
person
Provider Business Mailing Address Details
Address
9450 Pennsylvania Ave
City
State
Zip
20772-3665
Phone Number
301-599-6300
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Ocularist
Taxonomy
License No.
(Maryland)
Definition
Definition to come...
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