Individual
DR. MARCUS E CIMINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3040
Mailing address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3040
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01089032A
IN
2084N0400X
Neurology Physician
A153688
CA
2084N0400X
Neurology Physician
Primary
MD470902
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2016
Last updated
08/13/2024
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