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NPI Code Detail

MEDICARE: THOMAS MAROON

MEDICARE: THOMAS MAROON
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
1208000000XPediatrics PhysicianMD037115EPA

General Provider Information

NPI Number : 1245228659
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS MAROON
Provider Business Mailing Address
First Line : 11279 PERRY HWY
Second Line : SUITE 450
City : WEXFORD
State : PA
Zip : 15090-9381
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 VILLAGE DR
Second Line : SUITE B
City : GREENSBURG
State : PA
Zip : 15601-3783
Country : US
Telephone Number : 724-832-0850
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2005
Last Update Date : 03/25/2021

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Directions to “ THOMAS MAROON ” Practice Location

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