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Individual

MARVIN MARCELIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
5735 RIDGE AVE STE 208, PHILADELPHIA, PA 19128-1747
(215) 487-4284
Mailing address
163 CARTERS MILL RD, TREVOSE, PA 19053-2702
(954) 319-2196

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC006879
PA

Other

Enumeration date
07/29/2017
Last updated
06/01/2019
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