Individual
ROGER A. MARINCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
261 OLD YORK RD, STE 214, JENKINTOWN, PA 19046-3724
(215) 885-4700
(215) 885-6861
Mailing address
9501 ROOSEVELT BLVD, STE 305, PHILADELPHIA, PA 19114-1028
(215) 671-4280
(215) 464-9034
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD021353E
PA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
MD021353E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009912920018
—
PA
Enumeration date
05/24/2005
Last updated
09/07/2007
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