Provider Demographics
NPI:1639138456
Name:MCINNES, MARCIA RUTH (MD)
Entity Type:Individual
Prefix:DR
First Name:MARCIA
Middle Name:RUTH
Last Name:MCINNES
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:LB# 7550 PO BOX 95000
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19195-7550
Mailing Address - Country:US
Mailing Address - Phone:844-362-1735
Mailing Address - Fax:973-290-7495
Practice Address - Street 1:254 RT 202-206 NORTH
Practice Address - Street 2:
Practice Address - City:PLUCKEMIN
Practice Address - State:NJ
Practice Address - Zip Code:07978-0160
Practice Address - Country:US
Practice Address - Phone:908-234-9777
Practice Address - Fax:908-234-2485
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2017-12-12
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA04419400208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics