Antonopoulou, Marianna

Antonopoulou, Marianna is an individual health care provider with primary practice located at 2005 Technology Pkwy Suite 440, Mechanicsburg PA 17050-9413. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Antonopoulou, Marianna can be contacted via phone (717) 791-2540.

Contact Information

Primary practice address
2005 Technology Pkwy Suite 440 Mechanicsburg PA 17050-9413
Fax: (717) 791-2549
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 25MA09214900 New Jersey
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X MD454872 Pennsylvania

Profile Details

NPI number 1588826796
LBN Legal business name Antonopoulou, Marianna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2008
Last updated Jan 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 1588826796 NPPES
Pennsylvania MEDICAID 103044692

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