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NPI Code Detail

MEDICARE: MEDICAL MARKETING AND MANAGEMENT, LLC

MEDICARE: MEDICAL MARKETING AND MANAGEMENT, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1004390OTHERPAUPMC
203601OTHERPAUMPC HEALTH PLAN

General Provider Information

NPI Number : 1073677266
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICAL MARKETING AND MANAGEMENT, LLC
Provider Business Mailing Address
First Line : 1800 PINE HOLLOW ROAD
Second Line : SUITE 1D
City : MC KEES ROCKS
State : PA
Zip : 15136-1516
Country : US
Telephone Number : 412-331-3477
Fax Number : 412-331-7233
Provider Business Practice Location Address
First Line : 1800 PINE HOLLOW ROAD
Second Line : SUITE 1D
City : MC KEES ROCKS
State : PA
Zip : 15136-1516
Country : US
Telephone Number : 412-331-3477
Fax Number : 412-331-7233
Authorized Official
Title or Position : CHIEF OPERATING OFFICER
Name : MR. JOSEPH LEO BEISLER
Credential :
Telephone Number : 407-333-2939
Provider Enumeration Date : 12/21/2006
Last Update Date : 06/21/2018

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Directions to “MEDICAL MARKETING AND MANAGEMENT, LLC ” Practice Location

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