Individual
PAUL ALBERT MARCHETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
925 CHESTNUT ST, 5TH FLOOR, PHILADELPHIA, PA 19107-4216
(267) 339-3500
(215) 503-0580
Mailing address
833 CHESTNUT ST, SUITE 1402, PHILADELPHIA, PA 19107-4414
(800) 321-9999
(267) 339-3761
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
25MA04441500
NJ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD-039043-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0052386000
IBC
PA
01
—
0523454000
IBC
NJ
01
—
3953035
AETNA
PA
01
—
3953048
AETNA
NJ
01
—
7996832
CIGNA
—
Enumeration date
06/02/2006
Last updated
11/10/2015
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