Individual
CONSTANTIN RAUL MARC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
542 QUAIL RIDGE LN, STROUDSBURG, PA 18360-7153
(570) 994-5105
Mailing address
542 QUAIL RIDGE LN, STROUDSBURG, PA 18360-7153
(570) 994-5105
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
542937
PA
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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