Provider Demographics
NPI:1942313291
Name:CARP, MARC S (MD)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:S
Last Name:CARP
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 848593
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02284-8593
Mailing Address - Country:US
Mailing Address - Phone:305-468-4180
Mailing Address - Fax:305-595-1013
Practice Address - Street 1:1400 NE MIAMI GARDENS DR
Practice Address - Street 2:SUITE 221
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33179
Practice Address - Country:US
Practice Address - Phone:305-949-2020
Practice Address - Fax:305-949-6715
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2009-02-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL0038332207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
2499150OtherGHI
22472OtherSTAYWELL
22472OtherWELLCARE
95735OtherBLUECROSS
FL203400983OtherCHAMPUS
3450134OtherAETNA
P00120815OtherRAILROAD MEDICARE
22472OtherSTAYWELL
D63588Medicare UPIN