Individual
MARCIA S BROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10800 KNIGHTS RD FL 3, PHILADELPHIA, PA 19114-4200
(215) 890-3030
(215) 890-3031
Mailing address
1101 MARKET ST FL 30, PHILADELPHIA, PA 19107-2934
(215) 481-6836
(215) 481-5788
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
MD063022L
PA
207Y00000X
Otolaryngology Physician
MD063022L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019057620001
—
PA
Enumeration date
06/29/2006
Last updated
11/17/2021
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