Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | MD044216E | PA |
Y | 208600000X | Surgeon | MD044216E | PA |
N | 208G00000X | Cardiothoracic Vascular Surgeon | MD044216E | PA |
NPI | 1164414181 |
---|---|
Provider Name | Dr. Gary Charles Marrone |
First Address | Sharon, PA 16146-3328 |
Second Address | Sharon, PA 16146-3328 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2005 |
Last Update Date | 15/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E52832 | (02) | PA |