Individual
MARVIN H MARX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
506 N BROAD STREET, LANSDALE, PA 19446-2416
(215) 362-5633
(215) 361-3494
Mailing address
506 N BROAD STREET, LANSDALE, PA 19446-2416
(215) 362-5633
(215) 361-3494
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD007170E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0045552000
PERSONAL CHOICE
PA
05
—
0655226
—
PA
01
—
51493
AETNA
—
Enumeration date
10/12/2006
Last updated
07/08/2007
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