Individual
DR. GARY MARMOLYA
Active
Individual
DR. GARY MARMOLYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35041562
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221317
UNISON
OH
01
—
00000516221
ANTHEM
OH
05
—
0750763
—
OH
01
—
363808
WELLCARE
OH
01
—
4261908
AETNA
OH
01
—
733052
BUCKEYE
OH
01
—
P00412503
RAILROAD MEDICARE
OH
Enumeration date
08/25/2005
Last updated
07/29/2008
Update your record
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