Provider Demographics
NPI:1891877049
Name:MARSHALL, CATHARINE HUNT (MD)
Entity type:Individual
Prefix:MRS
First Name:CATHARINE
Middle Name:HUNT
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12395 EL CAMINO REAL
Mailing Address - Street 2:SUITE 311
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-3085
Mailing Address - Country:US
Mailing Address - Phone:858-481-3391
Mailing Address - Fax:858-481-9065
Practice Address - Street 1:12395 EL CAMINO REAL
Practice Address - Street 2:SUITE 311
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-3085
Practice Address - Country:US
Practice Address - Phone:858-481-3391
Practice Address - Fax:858-481-9065
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2009-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA64910207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H18032Medicare UPIN
A64910Medicare ID - Type Unspecified