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Individual

MR. DENKA MARAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
1800 LOMBARD ST, STE 206, PHILADELPHIA, PA 19146-1414
(215) 615-2222
Mailing address
1800 LOMBARD ST, STE 206, PHILADELPHIA, PA 19146-1414
(215) 615-2222

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP016902
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SP016902
NP LICENSE
PA
Enumeration date
12/06/2016
Last updated
08/01/2019
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