Individual
PAUL J MARCOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, 3 SILVERSTEIN BLDG, PHILADELPHIA, PA 19104
(215) 662-3487
Mailing address
3400 SPRUCE ST, 3 SILVERSTEIN BLDG, PHILADELPHIA, PA 19104-4206
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD048924L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013967000001
—
PA
Enumeration date
06/21/2006
Last updated
03/10/2011
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