Provider Demographics
NPI:1609866706
Name:MARCU, MARINA SIMONA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARINA
Middle Name:SIMONA
Last Name:MARCU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1730 W 25TH ST STE 1200
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44113-3108
Mailing Address - Country:US
Mailing Address - Phone:216-363-2207
Mailing Address - Fax:216-363-2237
Practice Address - Street 1:1730 W 25TH ST
Practice Address - Street 2:SUITE 1200
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44113-3108
Practice Address - Country:US
Practice Address - Phone:216-363-2207
Practice Address - Fax:216-363-2237
Is Sole Proprietor?:No
Enumeration Date:2005-10-28
Last Update Date:2019-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-08-1016-M207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2626671Medicaid
OH2626671Medicaid
OH4180431Medicare PIN
OH2626671Medicaid