Marymorbariatricsllc

NPI #1790914331 in Springfield, Pennsylvania

Provider Information

NPI Number: 1790914331
Entity Type: Organization
Organization Name: Marymorbariatricsllc
Primary Specialty: Surgery
Enumeration Date: Jul 3, 2009
Last Updated: Jul 3, 2009

Practice Location

Address: 100 W SPROUL RD
Address 2: SUITE 224
City: Springfield
State: Pennsylvania
ZIP Code: 19064-2033
Phone: (610) 715-2316

Authorized Official

Name: NEIL S MARYMOR, MD
Title: SOLE MEMBER
Phone: (610) 715-2316

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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