Individual
MARIETTE AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2003 FAIRVIEW AVE, EASTON, PA 18042-3915
(484) 821-1373
(484) 821-1375
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
MD040080E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02910700
CAPITAL
PA
01
—
2180299
AETNA
PA
01
—
6448826006
CIGNA
PA
01
—
807243
HIGHMARK BLUE SHIELD
PA
01
—
830005526
RAILROAD MEDICARE
PA
01
—
P706303
OXFORD
PA
Enumeration date
07/08/2005
Last updated
07/31/2019
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