MEDICARE: MARZENA BIENIEK, MD, PC

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	174400000X	Specialist	MD052561L	PA

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	:	1457424533
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARZENA BIENIEK, MD, PC

Provider Business Mailing Address
First Line	:	352 5TH ST
Second Line	:	SUITE B
City	:	WHITEHALL
State	:	PA
Zip	:	18052-6523
Country	:	US
Telephone Number	:	610-432-8185
Fax Number	:	610-432-8187

Provider Business Practice Location Address
First Line	:	352 5TH ST
Second Line	:	SUITE B
City	:	WHITEHALL
State	:	PA
Zip	:	18052-6523
Country	:	US
Telephone Number	:	610-432-8185
Fax Number	:	610-432-8187

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	MARZENA L. BIENIEK
Credential	:	MD
Telephone Number	:	610-432-8185

Provider Enumeration Date	:	11/16/2006
Last Update Date	:	07/27/2007

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