Individual
DR. MARCUS ALLEN GRECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3998 RED LION RD, OFFICE OF ACADEMIC AFFAIRS, PHILADELPHIA, PA 19114-1445
(215) 612-5161
Mailing address
1223 SOUTH ST, # C, PHILADELPHIA, PA 19147-1820
(949) 701-2397
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OT015703
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0694215
—
NJ
Enumeration date
06/12/2014
Last updated
08/15/2024
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