Individual
MICHAEL C MARCUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8815 GERMANTOWN AVE, PHILADELPHIA, PA 19118-2722
(215) 248-8877
(215) 836-5372
Mailing address
3500 N BROAD ST # 1A, PHILADELPHIA, PA 19140-4106
(215) 707-2433
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD033924E
PA
2086S0102X
Surgical Critical Care Physician
MD033924E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001256370
—
PA
Enumeration date
06/02/2006
Last updated
09/23/2024
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