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MARIANNE PATRCIA MCCORMICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
800 SPRUCE ST, 2 CATHCART, PHILADELPHIA, PA 19107-6130
(215) 829-3264
Mailing address
800 SPRUCE STREET, 2 CATHCART, PHILADELPHIA, PA 19107-6130
(215) 829-3358
(215) 615-0500

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD047603L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001482011
PA
Enumeration date
07/17/2006
Last updated
01/06/2012
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