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Individual

ANNERY G GARCIA-MARCINKIEWICZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3401 CIVIC CENTER BLVD STE 9329, PHILADELPHIA, PA 19104-4319
(215) 590-1858
Mailing address
100 PENN SQUARE EAST, 9TH FLOOR NORTH-CAA, PHILADELPHIA, PA 19107-3323
(267) 425-9309
(267) 425-9331

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
55285
MN
207LP3000X
Pediatric Anesthesiology Physician
Primary
MD455285
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1032138930001
PA
05
ENROLLED
IA
05
ENROLLED
MN
Enumeration date
06/06/2011
Last updated
01/02/2020
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