Provider Demographics
NPI:1306928056
Name:MARRA, STEVEN W (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:W
Last Name:MARRA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:610 WYOMING AVE
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:PA
Mailing Address - Zip Code:18704-3702
Mailing Address - Country:US
Mailing Address - Phone:570-288-5441
Mailing Address - Fax:570-288-5842
Practice Address - Street 1:545 N RIVER ST
Practice Address - Street 2:SUITE 220
Practice Address - City:WILKES BARRE
Practice Address - State:PA
Practice Address - Zip Code:18702-2600
Practice Address - Country:US
Practice Address - Phone:570-819-2825
Practice Address - Fax:570-819-1445
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2021-08-04
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Provider Licenses
StateLicense IDTaxonomies
PAMD063855L208G00000X
SC35396208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)