Physician Compare National (NPI:1255414207)

HEALTHCARE PROVIDER: MARCO A ALBORNOZ MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1255414207
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8123209756
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150130000106
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ALBORNOZ
	Individual professional last name
Provider First Name	MARCO
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1984
	Individual professional's medical school graduation year
Primary Specialty	RHEUMATOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1088 W BALTIMORE PIKE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 2105
	Group Practice or individual's line 2 address
City	MEDIA
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	190635136
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	390222
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	RIDDLE MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390156
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MERCY FITZGERALD HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	390180
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	CROZER CHESTER MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	390081
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	DELAWARE COUNTY MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	390195
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	MAIN LINE HOSPITAL LANKENAU
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1255414207)

HEALTHCARE PROVIDER: MARCO A ALBORNOZ MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information