Individual
MARC A VALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 N LANSDOWNE AVE, DREXEL HILL, PA 19026
(610) 284-8216
(610) 284-8144
Mailing address
PO BOX 95000-1595, PHILADELPHIA, PA 19195-1595
(610) 284-8215
(610) 284-8144
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD066117L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018145600001
—
PA
Enumeration date
06/09/2006
Last updated
07/14/2010
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