Provider Information for 1306465281
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MARIANA SCUTARU
Sex: Female
NPI: 1306465281
Last Updated: 2020-04-10
Certification Date: 2020-04-10
Certification Date: 2020-04-10
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1306465281 | ||||||||
| Enumeration Date | 2020-04-10 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 232 LOYALSOCK DR DOUGLASSVILLE, PA 19518-8732 United States Phone: 267-690-0672 | Fax: | ||||||||
| Primary Practice Address | 7 W CENTRAL AVE PAOLI, PA 19301-1378 United States Phone: 267-690-0672 | Fax: | ||||||||
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