Individual
DR. EDWARD ANTHONY MARUCA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DENTIST
Contact information
Practice address
1041 3 AVENUE, DUNCANSVILLE, PA 16635
(814) 695-0920
(814) 695-0926
Mailing address
1041 3 AVENUE, DUNCANSVILLE, PA 16635
(814) 695-0920
(814) 695-0926
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS015925L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005115110001
—
PA
Enumeration date
03/30/2007
Last updated
03/10/2008
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