Healthcare Provider Details

I. General information

NPI: 1407081748
Provider Name (Legal Business Name): DANA A MARRERO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2009
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E LANCASTER AVE ACADEMIC HOSPITALIST PROGRAM
WYNNEWOOD PA
19096-3450
US

IV. Provider business mailing address

100 E LANCASTER AVE ACADEMIC HOSPITALIST PROGRAM
WYNNEWOOD PA
19096-3450
US

V. Phone/Fax

Practice location:
  • Phone: 484-476-6421
  • Fax: 484-476-3149
Mailing address:
  • Phone: 484-476-6421
  • Fax: 484-476-3149

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number2015-01966
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2015-01966
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD445985
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: