Individual
DR. ADAM JASON MARCOVITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
507 LOCUST LN, STATE COLLEGE, PA 16801-5419
(814) 237-4105
Mailing address
507 LOCUST LN, STATE COLLEGE, PA 16801-5419
(814) 237-4105
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
200400909
NC
207W00000X
Ophthalmology Physician
Primary
MD429629
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8913722
—
NC
Enumeration date
05/24/2005
Last updated
09/26/2009
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