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Individual

MARILYN L ROTOR-MAKILAN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
850 S 5TH STREET, GOOD SHEPHERD PHYSICIAN GROUP 5TH FLOOR BILLING, ALLENTOWN, PA 18103
(610) 778-9297
(610) 778-9270
Mailing address
850 S 5TH STREET, GOOD SHEPHERD PHYSICIAN GROUP 5TH FLOOR BILLING, ALLENTOWN, PA 18103
(610) 778-9297
(610) 778-9270

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD 031559E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0011257340009
PA
Enumeration date
12/13/2005
Last updated
07/08/2007
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