MEDICARE: DANIEL MARCUS MD

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
1	208100000X	Physical Medicine & Rehabilitation Physician	A92948	CA

General Provider Information

NPI Number	:	1093785214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL MARCUS MD

Provider Business Mailing Address
First Line	:	1529 SEABRIGHT AVE
Second Line	:
City	:	SANTA CRUZ
State	:	CA
Zip	:	95062-2528
Country	:	US
Telephone Number	:	209-603-8524
Fax Number	:

Provider Business Practice Location Address
First Line	:	1595 SOQUEL DR STE 220
Second Line	:
City	:	SANTA CRUZ
State	:	CA
Zip	:	95065-1721
Country	:	US
Telephone Number	:	209-603-8524
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	05/24/2011

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Directions to “ DANIEL MARCUS MD” Practice Location

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