Individual
CHARLOTTE LUCINE MAROUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
840 WALNUT ST STE 910, PHILADELPHIA, PA 19107-5109
(215) 928-3250
(215) 928-3276
Mailing address
840 WALNUT ST STE 1230, PHILADELPHIA, PA 19107-5109
(215) 440-3160
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD479679
PA
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
MD479679
PA
Other
Enumeration date
03/21/2017
Last updated
06/27/2024
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