Marcus, Gary J.

Marcus, Gary J. is an individual health care provider with primary practice located at 1000 Dutch Ridge Rd , Beaver PA 15009-9727. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Marcus, Gary J. can be contacted via phone (724) 775-0770.

Contact Information

Primary practice address
1000 Dutch Ridge Rd Beaver PA 15009-9727
Phone: (724) 775-0770
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD015850E Pennsylvania

Profile Details

NPI number 1912916453
LBN Legal business name Marcus, Gary J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Jul 8th, 2007 - about 17 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 1912916453 NPPES
Pennsylvania MEDICAID 0010440190003

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