Individual
MR. JOSE A MARCHOSKY
Active
Individual
MR. JOSE A MARCHOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R4651
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000014163
MEDICARE PTAN
MO
01
—
0600032
UHC
MO
01
—
101144
HEALTHLINK
MO
01
—
194767
GHP
MO
01
—
200536888
TAX ID#
MO
01
—
22527
BCBS
MO
01
—
A28694
MERCY
MO
01
—
P00110866
RR MEDICARE
MO
Enumeration date
06/21/2006
Last updated
10/05/2016
Update your record
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