Active NPIIndividual provider

Mr. Marc J Mollo, ATC

Specialist/Technologist, Athletic Trainer in Chesapeake City, Maryland

NPI Number1699233460
Practice location
2755 Augustine Herman Hwy, Chesapeake City, MD 21915-1408
Fax
—
Last updated
March 11, 2019

Marc Joseph Mollo is a Specialist/Technologist, Athletic Trainer based in Chesapeake City, MD. Marc Joseph Mollo practices in Chesapeake City, MD and has the professional credentials of ATC. The NPI Number for Marc Joseph Mollo is 1699233460 and holds a License No. A0000995 (MD). The current practice location address for Marc Joseph Mollo is 2755 Augustine Herman Hwy, Chesapeake City, MD 21915-1408 and can be reached out via phone at 410-885-2075.

Provider Profile Details

NPI Number
1699233460
Provider Name
Marc Joseph Mollo
Credential
ATC
Provider Entity Type
Individual
Gender
Male
Address
2755 Augustine Herman Hwy, Chesapeake City, MD 21915-1408
Phone Number
410-885-2075
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
March 11, 2019
Last Update Date
March 11, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
2755 Augustine Herman Hwy
Chesapeake City, MD 21915-1408
Zip
21915-1408
Phone Number
410-885-2075
Chesapeake City, MD 21915Get directions →

Provider Business Mailing Address Details

Address
16 Penn Dr
Sewell, NJ 08080-1720
City
Sewell
State
NJ
Zip
08080-1720
Phone Number
609-980-5132

License Information

License Number
A0000995
License State
MD
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Marc J Mollo, ATC?

The NPI number of Mr. Marc J Mollo, ATC is 1699233460. It was assigned on March 11, 2019 and is currently active in the NPPES registry.

What is the specialty of Mr. Marc J Mollo, ATC?

Mr. Marc J Mollo, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MD under license number A0000995.

Where does Mr. Marc J Mollo, ATC practice?

The practice location is 2755 Augustine Herman Hwy, Chesapeake City, MD 21915-1408. The office can be reached at 410-885-2075 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699233460 directly on the NPPES registry website.

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