Harry Marshak Md A Professional Corporation | |
74075 El Paseo Ste D2 Palm Desert CA 92260-4118 | |
(760) 341-2551 | |
(760) 341-2522 |
Full Name | Harry Marshak Md A Professional Corporation |
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Speciality | Clinic/Center |
Location | 74075 El Paseo Ste D2, Palm Desert, California |
Authorized Official Name and Position | Harry Marshak (PRESIDENT) |
Authorized Official Contact | 7603412551 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Harry Marshak Md A Professional Corporation 74075 El Paseo Ste D2 Palm Desert CA 92260-4118 Ph: (760) 341-2551 | Harry Marshak Md A Professional Corporation 74075 El Paseo Ste D2 Palm Desert CA 92260-4118 Ph: (760) 341-2551 |
NPI Number | 1639489818 |
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Provider Enumeration Date | 10/20/2010 |
Last Update Date | 02/17/2011 |
Medicare PECOS PAC ID | 9335320373 |
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Medicare Enrollment ID | O20110223000616 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639489818 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | A70631 (California) | Primary |
Provider Name | Harry Marshak |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1174560825 PECOS PAC ID: 3971565474 Enrollment ID: I20041027000969 |
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