Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | MD027467E | PA |
NPI | 1114301736 |
---|---|
Provider Name | Dr. Harold Marder |
First Address | Palm Beach Gardens, FL 33410-1121 |
Second Address | Palm Beach Gardens, FL 33410-1121 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2015 |
Last Update Date | 14/07/2015 |