Individual
JOSEPH J MARCELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
508 S ADAMS ST STE 100, FORT WORTH, TX 76104-2151
(817) 332-5099
(817) 332-9093
Mailing address
PO BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 332-9093
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G4485
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131225807
—
TX
01
—
P00188170
RAILROAD MEDICARE
—
Enumeration date
07/13/2006
Last updated
08/04/2015
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