Individual
DR. MARK WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5030 STATE ROAD, STE 2-900, DREXEL HILL, PA 19026-4653
(610) 623-9080
(610) 623-3861
Mailing address
5030 STATE ROAD, STE 2-900, DREXEL HILL, PA 19026-4653
(610) 623-9080
(610) 623-3861
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS005359L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010979340002
—
PA
Enumeration date
04/06/2007
Last updated
06/26/2008
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