Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | MT207011 | PA |
NPI | 1013322544 |
---|---|
Provider Name | Dr. Marwan Ghassan Michael Ma'ayeh |
First Address | Columbus, OH 43210-1267 |
Second Address | Wynnewood, PA 19096-3450 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2014 |
Last Update Date | 10/07/2018 |