# DR. MICHAEL B. MARCHILDON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1447340179
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0120X | Pediatric Surgery Physician | MA03903300 | NJ | Yes |

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 09/29/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1176902 | — | PA |
| 05 | — | 3716708 | — | NJ |
| 05 | — | 4881036 | — | MD |