MEDICARE: DR. WALTER FRANCIS MARCHLEWSKI JR. 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
1	174400000X	Specialist	0101046653	VA

General Provider Information

NPI Number	:	1982600532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WALTER FRANCIS MARCHLEWSKI JR. M.D.

Provider Business Mailing Address
First Line	:	103 ANACOSTIA TURN
Second Line	:
City	:	YORKTOWN
State	:	VA
Zip	:	23693-2702
Country	:	US
Telephone Number	:	757-867-7585
Fax Number	:	757-867-7584

Provider Business Practice Location Address
First Line	:	1035 NIDER BLVD
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23521-2701
Country	:	US
Telephone Number	:	757-314-6802
Fax Number	:	757-314-7482

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

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	07/08/2007

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