Most Relevant Information
Provider Data
NPI Number: | 1003399130 |
Provider Name: | CONSTANTIN RAUL MARC |
Entity Type: | Individual |
Taxonomy Code: | 2085R0202X |
Specialty: | Radiology |
License Number: | 542937 |
Most Important Dates
Enumeration Date: | 09/14/2018 |
Last Updated: | 09/14/2018 |
Provider Practice Location
542 QUAIL RIDGE LN
STROUDSBURG
PA
183607153
Practice Location Phone/Fax
Phone: | 5709945105 |
Fax: |
Provider Mailing Location
542 QUAIL RIDGE LN
STROUDSBURG
PA
183607153
Provider Mailing Phone/Fax
Phone: | 5709945105 |
Fax: |