Individual
ANDRE MARQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5189
(800) 836-7536
Mailing address
770 S 13TH ST APT 2, PHILADELPHIA, PA 19147-2570
(301) 792-8948
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MT229430
PA
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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