Individual
DR. GIA ELENA MAROTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1023 N MOUND ST STE A, NACOGDOCHES, TX 75961-4453
(936) 564-3020
(936) 559-8747
Mailing address
1204 N MOUND ST, NACOGDOCHES, TX 75961-4027
(936) 568-8425
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
35124270
OH
207Y00000X
Otolaryngology Physician
Primary
R9099
TX
207YX0602X
Otolaryngic Allergy Physician
R9099
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0107957
—
OH
01
—
1689817173
BWC
OH
Enumeration date
04/13/2009
Last updated
01/26/2023
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