Provider Demographics
NPI:1316020415
Name:JULIUS, MARCUS JOHN (MD)
Entity Type:Individual
Prefix:
First Name:MARCUS
Middle Name:JOHN
Last Name:JULIUS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2094 E STATE ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:SALEM
Mailing Address - State:OH
Mailing Address - Zip Code:44460-4409
Mailing Address - Country:US
Mailing Address - Phone:330-337-6140
Mailing Address - Fax:330-337-1071
Practice Address - Street 1:1995 E STATE ST
Practice Address - Street 2:MEDICAL IMAGING DEPT.
Practice Address - City:SALEM
Practice Address - State:OH
Practice Address - Zip Code:44460-2423
Practice Address - Country:US
Practice Address - Phone:330-337-6140
Practice Address - Fax:330-337-1071
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-07-64922085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3410390721200OtherANTHEM
OHP00023596OtherRAILROAD MEDICARE
OH2379153Medicaid
OHJU4097761Medicare ID - Type Unspecified
OH2379153Medicaid