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NPI Code Detail

MEDICARE: HECTOR MARQUEZ M.D.

MEDICARE: HECTOR MARQUEZ M.D.
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
1207L00000XAnesthesiology Physician0101050274VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3077059OTHERVAANTHEM BCBS

General Provider Information

NPI Number : 1306899406
Entity Type Code : Individual
Provider Name (Legal Business Name) : HECTOR MARQUEZ M.D.
Provider Business Mailing Address
First Line : PO BOX 444
Second Line :
City : SOUTH BOSTON
State : VA
Zip : 24592-0444
Country : US
Telephone Number : 434-572-3323
Fax Number : 434-572-6716
Provider Business Practice Location Address
First Line : 2204 WILBORN AVE
Second Line :
City : SOUTH BOSTON
State : VA
Zip : 24592-1645
Country : US
Telephone Number : 434-517-3139
Fax Number : 434-572-6716
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2006
Last Update Date : 08/18/2011

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Directions to “ HECTOR MARQUEZ M.D.” Practice Location

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