Provider Demographics
NPI:1386687309
Name:MOLNAR, MARK C (DO)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:C
Last Name:MOLNAR
Suffix:
Gender:
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-9800
Mailing Address - Country:US
Mailing Address - Phone:570-703-7300
Mailing Address - Fax:570-703-8512
Practice Address - Street 1:1800 MULBERRY ST
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18510-2369
Practice Address - Country:US
Practice Address - Phone:570-703-7300
Practice Address - Fax:570-703-8512
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS012405207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101674630Medicaid
PA101674630Medicaid
PAI57077Medicare UPIN