Marantz, Dylan Isaac

Marantz, Dylan Isaac is an individual health care provider with primary practice located at 3000 Hospital Blvd Pathology Dept, Roswell GA 30076-4915. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Marantz, Dylan Isaac can be contacted via phone (770) 751-2529.

Contact Information

Primary practice address
3000 Hospital Blvd Pathology Dept Roswell GA 30076-4915
Phone: (770) 751-2529
Fax: (770) 751-2723
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X 055129 Georgia
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 055129 Georgia

Profile Details

NPI number 1285698639
LBN Legal business name Marantz, Dylan Isaac
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Jul 24th, 2008 - about 16 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 1285698639 NPPES
Georgia MEDICAID 565333255A
Georgia MEDICAID 565333255C
Georgia MEDICAID 565333255B

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