1841396728 NPI number — MRS. CHERIE QUESENBERRY MARFORI MD

Table of content: MRS. CHERIE QUESENBERRY MARFORI MD (NPI 1841396728)

General
Organization/Personal Information
Provider's Other Name Information
NPI Number Information
Provider's Business Mailing Address
Provider's Practice Location Mailing Address
Additional Information
Authorized Official
Provider Taxonomy Codes
Other Provider's Identifiers (legacy, non-NPI)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841396728 NPI number — MRS. CHERIE QUESENBERRY MARFORI MD

Organization/Personal Information

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:
MARFORI

Provider First Name:
CHERIE

Provider Middle Name:
QUESENBERRY

Provider Name Prefix Text:
MRS.

Provider Name Suffix Text:

Provider Credential Text:
MD

Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:
QUESENBERRY

Provider Other First Name:
CHERIE

Provider Other Middle Name:
DAWN

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:
MD

Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1841396728

Entity Type Code:
Individual

Replacement NPI:

Last Update Date:
04/12/2022

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 37174

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:
BALTIMORE

Provider Business Mailing Address State Name:
MD

Provider Business Mailing Address Postal Code:
21297-3174

Provider Business Mailing Address Country Code:
US

Provider Business Mailing Address Telephone Number:
571-423-5699

Provider Business Mailing Address Fax Number:
571-423-5698

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2800 S SHIRLINGTON RD STE 706

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:
ARLINGTON

Provider Business Practice Location Address State Name:
VA

Provider Business Practice Location Address Postal Code:
22206-3602

Provider Business Practice Location Address Country Code:
US

Provider Business Practice Location Address Telephone Number:
571-777-2410

Provider Business Practice Location Address Fax Number:
571-777-2411

Provider Enumeration Date:
09/16/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

Provider Taxonomy Codes

Taxonomy code: 207V00000X , with the licence number: MD036264 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Taxonomy code: 207V00000X , with the licence number: 0101271669 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .