Provider Demographics
NPI:1962564708
Name:MARCUS, EDUARDO JOSE (PA)
Entity type:Individual
Prefix:MR
First Name:EDUARDO
Middle Name:JOSE
Last Name:MARCUS
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:1110 LA TERRACE CIR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95123-5351
Mailing Address - Country:US
Mailing Address - Phone:408-323-9810
Mailing Address - Fax:
Practice Address - Street 1:1441 CONSTITUTION BLVD BLDG 151
Practice Address - Street 2:# 202
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93906-3100
Practice Address - Country:US
Practice Address - Phone:831-769-8640
Practice Address - Fax:831-769-8640
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2014-09-09
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Provider Licenses
StateLicense IDTaxonomies
CAPA20186363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant