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Individual
DR. MARSHALL PHILIP PRIMACK
Active
Individual
DR. MARSHALL PHILIP PRIMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
099626
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00493605
—
NY
01
—
099626-C26
FIRST HEALTH
NY
01
—
0C1100
HEALTHNET
NY
01
—
1000000367
AFFINITY
NY
01
—
137516
WELLCARE
NY
01
—
3774907
CIGNA HEALTH PLANS
NY
01
—
4294225
AETNA HEALTH PLANS
NY
01
—
8778423210
UNITED HEALTHCARE
NY
01
—
959081
BLUE CROSS
NY
01
—
NP373
OXFORD HEALTH PLANS
NY
Enumeration date
10/05/2005
Last updated
07/08/2007
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