Organization
INFECTIOUS DISEASES ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD MARCUS M.D. (PRESIDENT)
(215) 355-9634
Entity
Organization
Contact information
Practice address
729 GROVE AVENUE, SUITE 4, SOUTHAMPTON, PA 18966-6088
(215) 355-9634
(215) 357-7540
Mailing address
729 GROVE AVENUE, SUITE 4, SOUTHAMPTON, PA 18966-6088
(215) 355-9634
(215) 357-7540
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010737900008
—
PA
01
—
118797
MEDICARE PTAN
PA
Enumeration date
04/17/2006
Last updated
06/26/2018
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