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NPI Code Detail

MEDICARE: MICHAEL V. MARCHESE, D M D, P C

MEDICARE: MICHAEL V. MARCHESE, D M D, P C
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
11223S0112XOral and Maxillofacial Surgery (Dentist)DS035664PA

General Provider Information

NPI Number : 1225278500
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHAEL V. MARCHESE, D M D, P C
Provider Business Mailing Address
First Line : 5400 CHAMBERS HILL RD
Second Line : SUITE B
City : HARRISBURG
State : PA
Zip : 17111-2545
Country : US
Telephone Number : 717-561-0011
Fax Number : 717-561-0016
Provider Business Practice Location Address
First Line : 5400 CHAMBERS HILL RD
Second Line : SUITE B
City : HARRISBURG
State : PA
Zip : 17111-2545
Country : US
Telephone Number : 717-561-0011
Fax Number : 717-561-0016
Authorized Official
Title or Position : ORAL SURGEON
Name : MICHAEL V MARCHESE
Credential : DMD
Telephone Number : 717-561-0011
Provider Enumeration Date : 02/26/2009
Last Update Date : 05/01/2009

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