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Organization
MARDER MEDICAL ASSOCIATES, PC
Active
Organization
MARDER MEDICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL J MARDER D.O. (PRESIDENT)
(215) 332-0605
Entity
Organization
Contact information
Practice address
8350 ROOSEVELT BLVD, PHILADELPHIA, PA 19152-2531
(215) 332-0605
(215) 332-1156
Mailing address
8350 ROOSEVELT BLVD, PHILADELPHIA, PA 19152-2531
(215) 332-0605
(215) 332-1156
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS009943L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07748069
—
PA
Enumeration date
11/29/2006
Last updated
08/22/2020
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