Individual
MAREK MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1820 DRESDEN DR NE, BROOKHAVEN, GA 30319-3632
(215) 301-3948
Mailing address
1820 DRESDEN DR NE, BROOKHAVEN, GA 30319-3632
(215) 301-3948
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD424073
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011505150001
—
PA
Enumeration date
06/22/2006
Last updated
02/16/2016
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