Provider Demographics
NPI:1730157371
Name:MARSH, ROBERT L (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:L
Last Name:MARSH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3040 WILLIAMS DR STE 100
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-4618
Mailing Address - Country:US
Mailing Address - Phone:571-350-8400
Mailing Address - Fax:703-940-8697
Practice Address - Street 1:7901 LAKE MANASSAS DR
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-3257
Practice Address - Country:US
Practice Address - Phone:571-222-2200
Practice Address - Fax:571-222-2202
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2022-10-24
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Provider Licenses
StateLicense IDTaxonomies
VA0101230234207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1730157371Medicaid
VA2113006001OtherCIGNA POS/PPO
VA2113006011OtherCIGNA HMO
VA317490OtherTRIGON/ANTHEM
VA4325324OtherAETNA PPO
VA08700015OtherBCBS NCA-CARE FIRST
VA2468777OtherAETNA HMO
VA541795091OtherCHOICE CARE
VA541795091OtherTRICARE
VA285463OtherMAMSI/OP CHOICE/ALLIANCE
VA541795091OtherONE HEALTH PLAN
VA541795091OtherCCN
VAD65738OtherUPIN
VA504737OtherNCPPO
VA541795091OtherPHCS PPO/POS
VA541795091OtherFIRST HEALTH
VA900003495Medicare PIN
VA2113006011OtherCIGNA HMO
VA009093F90Medicare PIN