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NPI Code Detail

MEDICARE: DR. MARC ALAN LANDSBERG M.D.

MEDICARE:  DR. MARC ALAN LANDSBERG  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
1207V00000XObstetrics & Gynecology PhysicianMD036563LPA
2207V00000XObstetrics & Gynecology Physician25MA03224200NJ

General Provider Information

NPI Number : 1770582900
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARC ALAN LANDSBERG M.D.
Provider Business Mailing Address
First Line : 1094 WELSH RD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19115-2805
Country : US
Telephone Number : 215-677-6000
Fax Number :
Provider Business Practice Location Address
First Line : 1094 WELSH RD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19115-2805
Country : US
Telephone Number : 215-677-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2005
Last Update Date : 07/08/2007

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Directions to “ DR. MARC ALAN LANDSBERG M.D.” Practice Location

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