Individual
MARC ALAN VENGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1243 S CEDAR CREST BLVD, SUITE 2800, ALLENTOWN, PA 18103-6268
(610) 402-6790
(610) 402-6979
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
OS005215-L
PA
Other
Enumeration date
10/06/2006
Last updated
11/18/2015
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