Marvin Marcelin
Podiatrist
5735 Ridge Ave Ste 208
Philadelphia
, Pennsylvania 19128-1747
Marvin Marcelin
Podiatrist
5735 Ridge Ave Ste 208
Philadelphia
, Pennsylvania 19128-1747
(954) 319-2196
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Marvin Marcelin
- 163 Carters Mill Rd
- Trevose, PA
- Zip : 19053-2702
- Phone : (954) 319-2196
Second Address
- Marvin Marcelin
- 5735 Ridge Ave Ste 208
- Philadelphia, PA
- Zip : 19128-1747
- Phone : (215) 487-4284
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | SC006879 | PA |
| Y | 222Z00000X | Podiatrist | SC006879 | PA |
National Provider Identifier
| NPI | 1053835264 |
|---|---|
| Provider Name | Marvin Marcelin |
| First Address | Trevose, PA 19053-2702 |
| Second Address | Philadelphia, PA 19128-1747 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/07/2017 |
| Last Update Date | 01/06/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.