Provider Demographics
NPI:1023060746
Name:ZUBROW, MARC T (MD)
Entity type:Individual
Prefix:DR
First Name:MARC
Middle Name:T
Last Name:ZUBROW
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:200 HYGEIA DR
Mailing Address - Street 2:ROOM 2470
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2049
Mailing Address - Country:US
Mailing Address - Phone:302-623-0616
Mailing Address - Fax:302-623-0610
Practice Address - Street 1:200 HYGEIA DR
Practice Address - Street 2:ROOM 2470
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2049
Practice Address - Country:US
Practice Address - Phone:302-623-0616
Practice Address - Fax:302-623-0610
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DEC10003030207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000060101Medicaid
4481193OtherAETNA/USHC
0067884000OtherAMERIHEALTH/KEYSTONE
290749OtherMAMSI
1178107001OtherCIGNA
428345OtherINDEPENDENCE BCBS
45014OtherCOVENTRY
MD52686201OtherCAREFIRST BCBS
45014OtherCOVENTRY
DE0000060101Medicaid