Organization
WILLIAM MARASOVICH MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM A MARASOVICH D.D.S., M.D. (PRESIDENT)
(412) 741-2123
Entity
Organization
Contact information
Practice address
701 BROAD ST, SEWICKLEY, PA 15143-1652
(412) 741-2123
(412) 741-5522
Mailing address
701 BROAD ST, SEWICKLEY, PA 15143-1652
(412) 741-2123
(412) 741-5522
Taxonomy
Speciality
Code
Description
License number
State
207YX0602X
Otolaryngic Allergy Physician
Primary
MD023967L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014326190004
—
PA
01
—
761800
BLUE SHIELD PROVIDER #
PA
Enumeration date
04/20/2007
Last updated
05/05/2008
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