Marenberg, Marjorie E.

Marenberg, Marjorie E. is an individual health care provider with primary practice located at 30 West Ave , Wayne PA 19087-3322. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Marenberg, Marjorie E. can be contacted via phone (484) 476-8510.

Contact Information

Primary practice address
30 West Ave Wayne PA 19087-3322
Phone: (484) 476-8510
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD068850L Pennsylvania
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X MD068850L Pennsylvania

Profile Details

NPI number 1902830912
LBN Legal business name Marenberg, Marjorie E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated May 23rd, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902830912 NPPES
Pennsylvania Other 23-3090763 GROUP TAX ID
Pennsylvania MEDICAID 001826293 GROUP TAX ID
Pennsylvania MEDICAID 8391408 GROUP TAX ID

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