MEDICARE: DR. GERALD J MARKS 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	208C00000X	Colon & Rectal Surgery Physician	MD023151L	PA

General Provider Information

NPI Number	:	1174595532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GERALD J MARKS MD

Provider Business Mailing Address
First Line	:	100 E LANCASTER AVE
Second Line	:	SUITE 330 LANKENAU MOB WEST
City	:	WYNNEWOOD
State	:	PA
Zip	:	19096-3450
Country	:	US
Telephone Number	:	610-645-9093
Fax Number	:	610-645-9476

Provider Business Practice Location Address
First Line	:	100 E LANCASTER AVE
Second Line	:	SUITE 330 LANKENAU MOB WEST
City	:	WYNNEWOOD
State	:	PA
Zip	:	19096-3450
Country	:	US
Telephone Number	:	610-645-9093
Fax Number	:	610-645-9476

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

Provider Enumeration Date	:	02/01/2006
Last Update Date	:	02/22/2026

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