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Individual
DR. MARIANNE J. SUPRYS
Active
Individual
DR. MARIANNE J. SUPRYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD042437E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012040880004
—
PA
05
—
0012040880007
—
PA
01
—
080084839
PALMETTO GBA-RAILROAD MEDICARE
PA
01
—
122811
UNISON HEALTH PLAN
PA
01
—
20047 FCN
EPSDT
PA
01
—
205047
UPMC HEALTH PLAN
PA
01
—
251754199019
MEDICAL MUTUAL OF OHIO
PA
01
—
4235190002
NATIONAL SUPPLIERS CLEARINGHOUSE
PA
01
—
902560
HIGHMARK BLUE CROSS BLUE SHIELD
PA
01
—
E65436
HEALTH AMERICA
PA
Enumeration date
05/31/2005
Last updated
03/05/2026
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