Individual
MARILYN RUTH MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
522 DELAWARE AVE, FOUNTAIN HILL, PA 18015-1180
(610) 861-8977
(610) 861-9339
Mailing address
522 DELAWARE AVE, FOUNTAIN HILL, PA 18015-1180
(610) 861-8977
(610) 861-9339
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD 035461E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50088784
CAPITAL BLUE CROSS
PA
Enumeration date
06/21/2006
Last updated
10/21/2009
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