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Individual
THOMAS EDWARD MARCINOWSKI
Active
Individual
THOMAS EDWARD MARCINOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102865
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00414184
RAILROAD MEDICARE
NC
Enumeration date
03/02/2006
Last updated
08/11/2014
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