Marymorbariatricsllc
Surgery in Springfield, PA. Organization (NPI-2).
NPI number1790914331
StatusActive
Last updated in NPPESJul 3, 2009
Details
- NPI
- 1790914331
- Entity type
- Organization (NPI-2)
- Legal business name
- Marymorbariatricsllc
- Organization subpart
- No
- Enumeration date
- Jul 3, 2009
- Last updated
- Jul 3, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | md026704e | PA | Yes |
Practice location
100 W Sproul RdSuite 224
Springfield, PA 19064-2033
Phone 610-715-2316 · Fax 610-353-0878
Mailing address
24 Old Covered Bridge RdNewtown Square, PA 19073-1202
Phone 610-715-2316 · Fax 610-353-0878
Authorized official
Neil S Marymor
Sole Member
6107152316
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