Individual
DR. MARINA DEWI LIEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3998 RED LION RD, PHILADELPHIA, PA 19114-1436
(215) 612-4021
Mailing address
101 GREENWOOD AVE STE 150, TRISTATE IMAGING, JENKINTOWN, PA 19046
(215) 244-3070
(215) 638-9041
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD042422E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001815520
—
PA
05
—
0120634
—
NJ
Enumeration date
01/19/2006
Last updated
10/05/2011
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