Organization
MARYMORBARIATRICSLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL S MARYMOR MD (SOLE MEMBER)
(610) 715-2316
Entity
Organization
Contact information
Practice address
100 W SPROUL RD, SUITE 224, SPRINGFIELD, PA 19064-2033
(610) 715-2316
(610) 353-0878
Mailing address
24 OLD COVERED BRIDGE RD, NEWTOWN SQUARE, PA 19073-1202
(610) 715-2316
(610) 353-0878
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD026704E
PA
Other
Enumeration date
07/03/2009
Last updated
07/03/2009
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