| Harry Marshak Md A Professional Corporation | |
|
74075 El Paseo Ste D2 Palm Desert CA 92260-4118 | |
| (760) 341-2551 | |
| (760) 341-2522 |
| Full Name | Harry Marshak Md A Professional Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 74075 El Paseo Ste D2, Palm Desert, California |
| Authorized Official Name and Position | Harry Marshak (PRESIDENT) |
| Authorized Official Contact | 7603412551 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harry Marshak Md A Professional Corporation 74075 El Paseo Ste D2 Palm Desert CA 92260-4118 Ph: (760) 341-2551 | Harry Marshak Md A Professional Corporation 74075 El Paseo Ste D2 Palm Desert CA 92260-4118 Ph: (760) 341-2551 |
| NPI Number | 1639489818 |
|---|---|
| Provider Enumeration Date | 10/20/2010 |
| Last Update Date | 02/17/2011 |
| Medicare PECOS PAC ID | 9335320373 |
|---|---|
| Medicare Enrollment ID | O20110223000616 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639489818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A70631 (California) | Primary |
| Provider Name | Harry Marshak |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1174560825 PECOS PAC ID: 3971565474 Enrollment ID: I20041027000969 |
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