Individual
BARRY L MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6302 MORTON ST, PHILADELPHIA, PA 19144
(215) 843-8578
(215) 843-3253
Mailing address
6302 MORTON ST, PHILADELPHIA, PA 19144
(215) 843-8578
(215) 843-3253
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
OS00999L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0622421
—
PA
Enumeration date
07/24/2006
Last updated
03/09/2015
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