Provider Demographics
NPI:1316064116
Name:MARCUS, CAROL SILBER (PHD, MD)
Entity type:Individual
Prefix:DR
First Name:CAROL
Middle Name:SILBER
Last Name:MARCUS
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Gender:F
Credentials:PHD, MD
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Mailing Address - Street 1:1877 COMSTOCK AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-5014
Mailing Address - Country:US
Mailing Address - Phone:310-277-4541
Mailing Address - Fax:310-552-0028
Practice Address - Street 1:B265 UCLA DEPT OF RADIATION ONCOLOGY
Practice Address - Street 2:200 MEDICAL PLAZA
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-6951
Practice Address - Country:US
Practice Address - Phone:310-825-9775
Practice Address - Fax:310-794-9795
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-25
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG37890207U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC46511Medicare UPIN