MEDICARE: JOHN W MARCUS MD

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
1	207V00000X	Obstetrics & Gynecology Physician	25MA06283200	NJ
2	207V00000X	Obstetrics & Gynecology Physician	ME155859	FL
3	207V00000X	Obstetrics & Gynecology Physician	MAC6232	NJ

Other Identifiers

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

General Provider Information

NPI Number	:	1013075951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN W MARCUS MD

Provider Business Mailing Address
First Line	:	819 GLENN AVE
Second Line	:
City	:	LEHIGH ACRES
State	:	FL
Zip	:	33972-3331
Country	:	US
Telephone Number	:	201-755-0544
Fax Number	:

Provider Business Practice Location Address
First Line	:	819 GLENN AVE
Second Line	:
City	:	LEHIGH ACRES
State	:	FL
Zip	:	33972-3331
Country	:	US
Telephone Number	:	201-755-0544
Fax Number	:	201-447-3560

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	05/22/2023

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Directions to “ JOHN W MARCUS MD” Practice Location

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