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NPI Code Detail

MEDICARE: DR. DANIEL P. MARCUS M.D.

MEDICARE: DR. DANIEL P. MARCUS M.D.
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
1146D00000XPersonal Emergency Response Attendant
2207P00000XEmergency Medicine Physician35-092173OH

General Provider Information

NPI Number : 1619194420
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL P. MARCUS M.D.
Provider Business Mailing Address
First Line : 600 N PICKAWAY ST
Second Line :
City : CIRCLEVILLE
State : OH
Zip : 43113-1447
Country : US
Telephone Number : 740-474-2126
Fax Number : 937-619-4150
Provider Business Practice Location Address
First Line : 4750 HEMPSTEAD STATION DR
Second Line :
City : KETTERING
State : OH
Zip : 45429-5164
Country : US
Telephone Number : 800-875-0136
Fax Number : 937-619-4150
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2007
Last Update Date : 09/23/2014

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