Provider Demographics
NPI:1457353401
Name:MARCIN, JAMES J (DO)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:J
Last Name:MARCIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:752 BROOKSHIRE DR
Mailing Address - Street 2:STE 3
Mailing Address - City:HERMITAGE
Mailing Address - State:PA
Mailing Address - Zip Code:16148-4510
Mailing Address - Country:US
Mailing Address - Phone:724-347-5864
Mailing Address - Fax:724-346-6104
Practice Address - Street 1:752 BROOKSHIRE DR
Practice Address - Street 2:STE 3
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148-4510
Practice Address - Country:US
Practice Address - Phone:724-347-5864
Practice Address - Fax:724-346-6104
Is Sole Proprietor?:No
Enumeration Date:2005-06-02
Last Update Date:2010-07-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS009547L207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA822946PD7Medicare PIN
PAG26967Medicare UPIN
PA822946Medicare PIN