Individual
MARCOS A UGARTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 ALLEGHENY AVE, HANOVER, PA 17331-1949
(717) 630-2844
(717) 630-2834
Mailing address
401 ALLEGHENY AVE, HANOVER, PA 17331-1949
(717) 630-2844
(717) 630-2834
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD052860L
PA
208600000X
Surgery Physician
Primary
MD052860L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01102001
CAPITAL BLUE CROSS
PA
05
—
01482530
—
PA
01
—
114970
UNISON
PA
01
—
1519061
GATEWAY
PA
01
—
991821
KEYSTONE HEALTH PLAN
PA
01
—
UG439130
HIGHMARK BLUE SHIELD
PA
Enumeration date
07/16/2006
Last updated
11/06/2023
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