Individual
MARC M. KEULER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 COMMUNITY DR, PMC PHYSICIAN ASSOC .- INTERNAL MEDICINE. SUITE 203, TOBYHANNA, PA 18466-8985
(570) 839-8754
(570) 839-0893
Mailing address
206 E BROWN ST, POCONO HEALTHCARE MANAGEMENT, EAST STROUDSBURG, PA 18301-3006
(570) 476-3507
(570) 476-3754
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD030118E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016390580001
—
PA
Enumeration date
05/31/2006
Last updated
03/05/2009
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