Provider Demographics
NPI:1720052715
Name:MARROQUIN, OSCAR C (MD)
Entity Type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:C
Last Name:MARROQUIN
Suffix:
Gender:M
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:UPMC PRESBYTERIAN
Mailing Address - Street 2:200 LOTHROP STREET, SOUTH TOWER, SUITE CE361
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213
Mailing Address - Country:US
Mailing Address - Phone:412-647-9767
Mailing Address - Fax:412-647-9773
Practice Address - Street 1:200 LOTHROP ST
Practice Address - Street 2:WING 5B PUH
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2546
Practice Address - Country:US
Practice Address - Phone:412-647-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD071682L207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001934100Medicaid
PAH77930Medicare UPIN