Healthcare Provider Details

I. General information

NPI: 1649808585
Provider Name (Legal Business Name): MARCOS VALENTIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2020
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 FLORAL VALE BLVD STE 125
YARDLEY PA
19067-5583
US

IV. Provider business mailing address

3509 N BROAD ST
PHILADELPHIA PA
19140-4105
US

V. Phone/Fax

Practice location:
  • Phone: 215-759-6300
  • Fax: 215-944-8681
Mailing address:
  • Phone: 215-707-3911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME171289
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberMD497108
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: