Provider Demographics
NPI:1942417779
Name:BRODY, MARION B (MD)
Entity Type:Individual
Prefix:DR
First Name:MARION
Middle Name:B
Last Name:BRODY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2450 W HUNTING PARK AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19129-1302
Mailing Address - Country:US
Mailing Address - Phone:215-728-3883
Mailing Address - Fax:215-728-1185
Practice Address - Street 1:333 COTTMAN AVENUE
Practice Address - Street 2:FOX CHASE CANCER CENTER
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19111
Practice Address - Country:US
Practice Address - Phone:215-728-6900
Practice Address - Fax:215-728-3134
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2018-04-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD052348L2085D0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085D0003XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Neuroimaging