Individual
KENNETH WAYNE MARX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1484 1ST AVE, WRIGHT CENTER FOR GERIATRIC MEDICINE, NEW YORK, NY 10075-2304
(212) 746-7000
Mailing address
575 LEXINGTON AVE, WEILL CORNELL MEDICAL COLLEGE, NEW YORK, NY 10022-6102
(212) 746-7000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
152327-1
NY
207Q00000X
Family Medicine Physician
MD037161E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001201587
—
PA
Enumeration date
04/18/2006
Last updated
06/04/2015
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