Banner, Marc P

Banner, Marc P is an individual health care provider with primary practice located at 3400 Spruce Street Ground Floor Dulles, Philadelphia PA 19104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Banner, Marc P can be contacted via phone (215) 662-3000.

Contact Information

Primary practice address
3400 Spruce Street Ground Floor Dulles Philadelphia PA 19104
Phone: (215) 662-3000
Fax: (215) 662-7011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD013382E Pennsylvania

Profile Details

NPI number 1356378244
LBN Legal business name Banner, Marc P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Jan 24th, 2011 - about 13 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 1356378244 NPPES
Pennsylvania MEDICAID 0006953390008

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