Provider Demographics
NPI:1295817781
Name:KROUK, MARSHA (DO)
Entity Type:Individual
Prefix:DR
First Name:MARSHA
Middle Name:
Last Name:KROUK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 MEDICAL CENTER BLVD.
Mailing Address - Street 2:SUITE 403 CCMC POB 1 MARSHA KROUK D.O.
Mailing Address - City:UPLAND
Mailing Address - State:PA
Mailing Address - Zip Code:19013
Mailing Address - Country:US
Mailing Address - Phone:610-490-7980
Mailing Address - Fax:215-635-0745
Practice Address - Street 1:1 MEDICAL CENTER BLVD.
Practice Address - Street 2:SUITE 403 CCMC POB 1 MARSHA KROUK D.O.
Practice Address - City:UPLAND
Practice Address - State:PA
Practice Address - Zip Code:19013
Practice Address - Country:US
Practice Address - Phone:610-490-7980
Practice Address - Fax:215-635-0745
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA05005155L207V00000X
PAOS005155L207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology