Individual
DR. GIRARD M MARYNIAK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1234 PENN AVE, WYOMISSING, PA 19610-2130
(610) 374-4282
(610) 374-2403
Mailing address
1234 PENN AVE, WYOMISSING, PA 19610-2130
(610) 374-4282
(610) 374-2403
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD023735E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01158902
CAPITAL BLUE CROSS
PA
Enumeration date
04/12/2006
Last updated
07/08/2007
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