Organization
EASTSIDE PULMONARY ASSOCIATES INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY LYON MARMORSTEIN M.D. (PHYSICIAN)
(425) 761-6401
Entity
Organization
Contact information
Practice address
919 109TH AVE NE, BELLEVUE, WA 98004-4485
(425) 646-3993
(425) 453-8274
Mailing address
PO BOX 88, RONALD, WA 98940-0088
(425) 761-6401
(509) 674-6896
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD00013991
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014435
LABOR & INDUSTRIES
WA
01
—
336277300
FEDERAL DEPT OF LABOR
WA
01
—
5558MA
REGENCE BLUE SHIELD
WA
05
—
7123961
—
WA
01
—
8921640
L&I CRIME VICTIMS UNIT
WA
01
—
M123
REGENCE BLUE SHIELD
WA
Enumeration date
06/07/2007
Last updated
01/03/2012
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