Individual
GENE A MARCELLI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2425 GARDEN WAY, SUITE 101, HERMITAGE, PA 16148-5215
(724) 981-0630
(724) 981-7379
Mailing address
2425 GARDEN WAY, SUITE 101, HERMITAGE, PA 16148-5215
(724) 981-0630
(724) 981-7379
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD026975E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001045894
—
PA
01
—
468625
HIGHMARK BS
PA
01
—
P00192302
RR MEDICARE
—
Enumeration date
11/25/2005
Last updated
07/07/2011
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