Individual
PAUL GERARD MARCINCIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2597 SCHOENERSVILLE RD, SUITE 303, BETHLEHEM, PA 18017-7325
(610) 861-7727
(610) 861-2995
Mailing address
2597 SCHOENERSVILLE RD, SUITE 303, BETHLEHEM, PA 18017-7325
(610) 861-7727
(610) 861-2995
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD040755E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01033101
CAPITOL BLUE CROSS
—
01
—
515265
HIGMARK BLUE SHIELD
—
01
—
55701
AETNA ID NUMBER
—
01
—
990714
KEYSTONE CENTRAL ID
PA
Enumeration date
09/13/2005
Last updated
10/06/2010
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