Albornoz, Marco A

Albornoz, Marco A is an individual health care provider with primary practice located at 1088 W Baltimore Pike Ste 2105 , Media PA 19063-5136. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Albornoz, Marco A can be contacted via phone (610) 237-5801.

Contact Information

Primary practice address
1088 W Baltimore Pike Ste 2105 Media PA 19063-5136
Fax: (610) 237-5802
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X MD040031L Pennsylvania

Profile Details

NPI number 1255414207
LBN Legal business name Albornoz, Marco A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Apr 23rd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255414207 NPPES
Pennsylvania MEDICAID 0011646990003

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