Individual
JOHN THOMAS MARUCHECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3320 WAKE FOREST RD, SUITE 310, RALEIGH, NC 27609-7300
(919) 855-8911
(919) 855-9424
Mailing address
6217 DRESDEN LN, RALEIGH, NC 27612-2336
(919) 855-8911
(919) 855-9424
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25365
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8954546
—
NC
Enumeration date
10/11/2005
Last updated
05/26/2009
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