MEDICARE: MARC P HUROWITZ DO

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	207Q00000X	Family Medicine Physician	OS006277L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
9	597586	OTHER	PA	MEDICARE GROUP
10	P00130539	OTHER	PA	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0063256	OTHER	PA	AETNA HMO
2	15184	OTHER	PA	BRAVO HEALTH
3	30011519	OTHER	PA	KMHP
4	0371715000	OTHER	PA	INDEPENDENCE BLUE CROSS
5	450482	OTHER	PA	COVENTRY HEALTH AMERICA
6	553791	OTHER	PA	HIGHMARK BLUE SHIELD
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	5610061	OTHER	PA	AETNA PPO

General Provider Information

NPI Number	:	1669458212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARC P HUROWITZ DO

Provider Business Mailing Address
First Line	:	PO BOX 820933
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19182-0933
Country	:	US
Telephone Number	:	215-425-2424
Fax Number	:	215-425-0342

Provider Business Practice Location Address
First Line	:	1741 FRANKFORD AVE
Second Line	:	SUITE 100-A
City	:	PHILADELPHIA
State	:	PA
Zip	:	19125-2445
Country	:	US
Telephone Number	:	215-425-2424
Fax Number	:	215-425-0342

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2005
Last Update Date	:	11/12/2013

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