Individual
ANTHONY W MARRARA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2820 BENNER PIKE, BELLEFONTE, PA 16823-8435
(814) 355-1119
(814) 353-9144
Mailing address
2820 BENNER PIKE, BELLEFONTE, PA 16823-8435
(814) 355-1119
(814) 353-9144
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC003514L
PA
111N00000X
Chiropractor
Primary
DC008872
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010880500003
—
PA
05
—
0019172440001
—
PA
01
—
1394440
BLUESHIELD
PA
01
—
167853
BLUE SHIELD
PA
Enumeration date
07/07/2005
Last updated
07/08/2007
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