Individual
HAILEY SAMANTHA MARCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2 PENN BLVD STE 108, PHILADELPHIA, PA 19144-1402
(215) 842-0406
Mailing address
631 WISES MILL RD, PHILADELPHIA, PA 19128-3118
(267) 421-4589
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OA006616
PA
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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