Organization
ELLIOT L MARCUS MD PC
Active
Organization
ELLIOT L MARCUS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIOT LEE MARCUS M.D. (PRESIDENT)
(256) 880-0450
Entity
Organization
Contact information
Practice address
333 WHITESPORT DR SW, SUITE 200, HUNTSVILLE, AL 35801-6454
(256) 880-0450
Mailing address
333 WHITESPORT DR SW, SUITE 200, HUNTSVILLE, AL 35801-6454
(256) 880-0450
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
093523
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004378719
AETNA
AL
01
—
51020200003920
BLUE CROSS
AL
Enumeration date
03/29/2007
Last updated
08/22/2020
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