Individual
DR. CHRIS MARUKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
8410 BUSTLETON AVE, SUITE 3, PHILADELPHIA, PA 19152-1924
(215) 464-3600
(215) 220-3437
Mailing address
8410 BUSTLETON AVE, SUITE 3, PHILADELPHIA, PA 19152-1924
(215) 464-3600
(215) 220-3437
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC003264L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041134493
—
PA
Enumeration date
06/20/2006
Last updated
08/15/2011
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