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Individual

DR. NAEHAL PATEL MARRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
135B MIDWAY DR, DU BOIS, PA 15801-3857
(814) 371-1771
(814) 371-4417
Mailing address
135B MIDWAY DR, DU BOIS, PA 15801-3857
(814) 371-1771
(814) 371-4417

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
20A8402
CA
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
OS013751
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001879354
HIGHMARK INDIVIDUAL PROVIDER NUMBER
PA
05
101731700
PA
Enumeration date
07/21/2006
Last updated
10/29/2015
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