Individual
MARCUS OTAVIO SILVA DE CAMPOS MENESES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(445) 229-0711
Mailing address
1509 S 25TH ST UNIT 2A, PHILADELPHIA, PA 19146-4046
(445) 229-0711
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
LT001114
PA
Other
Enumeration date
03/17/2026
Last updated
03/17/2026
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