Individual
GARY J. MARCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
(724) 775-0770
Mailing address
PO BOX 561, NEW BRIGHTON, PA 15066-0561
(724) 728-7000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD015850E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010440190003
—
PA
Enumeration date
08/05/2006
Last updated
07/08/2007
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