Provider Demographics
NPI:1669458212
Name:HUROWITZ, MARC P (DO)
Entity Type:Individual
Prefix:
First Name:MARC
Middle Name:P
Last Name:HUROWITZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:PO BOX 820933
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19182-0933
Mailing Address - Country:US
Mailing Address - Phone:215-425-2424
Mailing Address - Fax:215-425-0342
Practice Address - Street 1:1741 FRANKFORD AVE
Practice Address - Street 2:SUITE 100-A
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19125-2445
Practice Address - Country:US
Practice Address - Phone:215-425-2424
Practice Address - Fax:215-425-0342
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2013-11-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS006277L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0063256OtherAETNA HMO
PA15184OtherBRAVO HEALTH
PA30011519OtherKMHP
PA0371715000OtherINDEPENDENCE BLUE CROSS
PA450482OtherCOVENTRY HEALTH AMERICA
PA553791OtherHIGHMARK BLUE SHIELD
PA001167681Medicaid
PA5610061OtherAETNA PPO
PA597586OtherMEDICARE GROUP
PAP00130539OtherRR MEDICARE
PA5610061OtherAETNA PPO
PA001167681Medicaid