Individual
MICHAEL S MARCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
206 E BROWN ST, E STROUDSBURG, PA 18301-3006
(570) 421-4000
Mailing address
3998 FAIR RIDGE DR, STE 300, FAIRFAX, VA 22033-2921
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD051183L
PA
207V00000X
Obstetrics & Gynecology Physician
MD051183L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00015337560007
—
PA
Enumeration date
10/31/2005
Last updated
04/13/2015
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