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NPI Code Detail

MEDICARE: MARINA A OPIDA MD

MEDICARE: MARINA A OPIDA 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
1207V00000XObstetrics & Gynecology PhysicianMD038754LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11020322OTHERPAGATEWAY
2104310OTHERPAUPMC
361957OTHERPATHREE RIVERS-UNISON
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5402801OTHERPAHIGHMARK

General Provider Information

NPI Number : 1235116534
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARINA A OPIDA MD
Provider Business Mailing Address
First Line : 2918 6TH AVE
Second Line :
City : ALTOONA
State : PA
Zip : 16602-1917
Country : US
Telephone Number : 814-944-6055
Fax Number : 814-944-1912
Provider Business Practice Location Address
First Line : 2918 6TH AVE
Second Line :
City : ALTOONA
State : PA
Zip : 16602-1917
Country : US
Telephone Number : 814-944-6055
Fax Number : 814-944-1912
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2005
Last Update Date : 07/08/2007

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Directions to “ MARINA A OPIDA MD” Practice Location

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