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NPI Code Detail

MEDICARE: MARWAN ATALLAH

MEDICARE: MARWAN ATALLAH
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
1208800000XUrology Physician128270NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649227091
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARWAN ATALLAH
Provider Business Mailing Address
First Line : PO BOX 117
Second Line :
City : BROOKLYN
State : NY
Zip : 11228-0117
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 142 JORALEMON ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-4709
Country : US
Telephone Number : 718-643-9371
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2006
Last Update Date : 04/10/2008

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Directions to “ MARWAN ATALLAH ” Practice Location

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