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Individual

MARC P SAKWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3828 SCHAUFELE AVE STE 340, LONG BEACH, CA 90808-1793
(657) 241-9052
(714) 665-4663
Mailing address
17360 BROOKHURST STREET, ATTN: NETWORK MANAGEMENT, FOUNTAIN VALLEY, CA 92708-3720
(248) 643-8680

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
4301051738
MI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G165763
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1840480
MI
Enumeration date
11/17/2005
Last updated
11/22/2019
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