Individual
JENNIFER MAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
130 S BRYN MAWR AVE, BRYN MAWR HOSPITAL RADIOLOGY, BRYN MAWR, PA 19010-3121
(610) 429-0693
Mailing address
405 CAPTAINS WAY, PHILADELPHIA, PA 19146-5209
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20A8232
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX82320
—
CA
Enumeration date
10/06/2006
Last updated
10/17/2011
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