Individual
DR. WILLIAM A MARASOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD DDS
Contact information
Practice address
701 BROAD ST, SUITE D, SEWICKLEY, PA 15143-1652
(412) 741-2123
Mailing address
701 BROAD ST, SUITE D, SEWICKLEY, PA 15143-1652
(412) 741-2123
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD048638L
PA
207YX0602X
Otolaryngic Allergy Physician
MD048638L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014326190004
MEDICAL ASSISTANCE
PA
01
—
1014184
GATEWAY
PA
01
—
205867
UPMC
PA
01
—
761800
BLUE SHIELD
PA
Enumeration date
05/15/2006
Last updated
04/17/2008
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