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Individual
CHARLES D. MARLEY JR.
Active
Individual
CHARLES D. MARLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS007304E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001286940
—
PA
01
—
1529201
GATEWAY
PA
01
—
200910
UNISON
PA
01
—
34560
GEISINGER
PA
01
—
50072668
CAPITAL BLUE CROSS
PA
01
—
7678716
CIGNA
PA
01
—
924642
HIGHMARK BLUE SHIELD
PA
Enumeration date
06/07/2006
Last updated
01/07/2010
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