Philip M Marden Md Sc in Watertown - Allergy
Philip M Marden Md Sc - NPI 1073652525
Philip M Marden Md Sc is a Allergy in Watertown, Wisconsin. Philip M Marden Md Sc practices all healthcare services and medical treatments related to Allergy. The NPI Number for Philip M Marden Md Sc is 1073652525. The last update date is 2012-12-06.
Philip M Marden Md Sc's current location address is 123 Hospital Drive, Watertown, Wisconsin. You can contact this provider via phone number 9202613898 and fax number 2625670368. The mailing address for Philip M Marden Md Sc is 123 Hospital Drive, Watertown, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Philip M Marden Md Sc |
|---|---|
| Address | 123 Hospital Drive, Watertown, Wisconsin |
| Phone Number | 9202613898 |
| Fax Number | 2625670368 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Marden M Philip |
| Credentials | MD |
| Telephone Number | 2625670366 |
NPI Number Detail
| NPI Number | 1073652525 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2012-12-06 |
Provider Mailing Address Detail
| Address | 123 Hospital Drive |
|---|---|
| City | Watertown |
| State | Wisconsin (WI) |
| Post Code | 530983336 |
| Phone Number | 9202613898 |
| Fax Number | 2625670368 |
Provider's Primary Taxonomy Detail
| Speciality | Allergy |
|---|---|
| Taxonomy | 207Ka0200X |
| Licence No | 14664 |
|
Definition: A physician who specializes in the diagnosis, treatment, and management of allergies. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14664 | WI | ST OF WIS MEDICAL LICENSE | |
| 4308968 | AETNA | ||
| 31212300 | WI | -- | |
| 718112 | MANAGED HEALTH SERVICES | ||
| 1200110 | UNITED HEALTHCARE | ||
| 12659 | DEAN HEALTH PLAN | ||
| 112760524654 | HUMANA | ||
| MARDENPHI | MERCYCARE HEALTH PLANS | ||
| W003437 | CHAMPUS | ||
| AS68366510001 | CIGNA |
Post Comment/ Review Below
What is the unique identification code assigned to Philip M Marden Md Sc by the Centers for Medicare & Medicaid Services?
The Philip M Marden Md Sc has been issued the NPI (National Provider Identifier) 1073652525. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Philip M Marden Md Sc is physically located?
The Philip M Marden Md Sc is physically situated at the following address: 123 Hospital Drive, Watertown, WI, 530983336.
What is Philip M Marden Md Sc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Philip M Marden Md Sc's specialized field of practice is Allergy, and the corresponding taxonomy code that categorizes this area of specialization is 207Ka0200X.
On what date was the 1073652525 assigned to Philip M Marden Md Sc?
The Philip M Marden Md Sc was issued its 1073652525 on 2007-02-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Philip M Marden Md Sc's information last updated?
The Philip M Marden Md Sc's information was last updated on 2012-12-06.
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