| Doctor Name: | ROGER A. MARINCHAK |
| NPI Number: | 1104829068 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MD021353E |
| Business Practice Address: | 261 Old York Rd Ste 214 Jenkintown, PA - 190463724 |
| Business Phone Number: | 2158854700 |
| Business Fax Number: | 2158856861 |
| Mailing Address: | 9501 Roosevelt Blvd, Ste 305 PHILADELPHIA |
| State: | PA |
| Postal Code: | 191141028 |
| Phone Number: | 2156714280 |
| Fax Number: | 2154649034 |
| NPI Enumeration Date: | 05/24/2005 |
| NPI Last Update Date: | 09/07/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RC0000X |
| License Number: | MD021353E |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Cardiovascular Disease |
| Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |