Doctor Name: | JENNIFER MAREK |
NPI Number: | 1093802522 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 20A8232 |
Business Practice Address: | 130 S Bryn Mawr Ave Bryn Mawr Hospital Radiology Bryn Mawr, PA - 190103121 |
Business Phone Number: | 6104290693 |
Business Fax Number: | |
Mailing Address: | 405 Captains Way, PHILADELPHIA |
State: | PA |
Postal Code: | 191465209 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/06/2006 |
NPI Last Update Date: | 10/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 20A8232 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |