Individual
DR. PAUL E. MARIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 FAIRFAX AVE, SUITE 445, NORFOLK, VA 23507-1914
(757) 446-5758
(757) 446-7452
Mailing address
PO BOX 936, NORFOLK, VA 23501-0936
(757) 446-5758
(757) 446-7452
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD071427L
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
0109542065
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD071427L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-029
TRICARE/CHAMPUS
VA
05
—
001814953
—
PA
05
—
0052523
—
NJ
01
—
10048909
SENTARA/OPTIMA HEALTH
VA
05
—
1194746453
—
VA
01
—
376522
ANTHEM BC/BS
VA
01
—
376526
ANTHEM BC/BS
VA
05
—
7613023
—
NC
01
—
PAR
UNITED HEALTH CARE/MAMSI
VA
Enumeration date
07/22/2006
Last updated
07/25/2011
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