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NPI Profile for Dr GARY L MARDER in PORT SAINT LUCIE, FL.
A physician who specializes in the diagnosis, treatment, and management of allergies.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Allergy |
207KA0200X | 03 | Physician/Allergy/ Immunology | |
Clinical & Laboratory Dermatological Immunology |
207NI0002X | 07 | Physician/Dermatology | |
Clinical & Laboratory Immunology |
207KI0005X | 03 | Physician/Allergy/ Immunology | |
Dermatopathology |
207ND0900X | 07 | Physician/Dermatology | |
Radiation Oncology |
2085R0001X | 92 | Physician/Radiation Oncology |
| NPI Number | 1730117003 |
|
| Status | Active | |
| Credentials | DO (Doctor of Osteopathic) | |
| Entity | Individual | |
| Enumeration date | 06/28/2006 | |
| Last updated | 03/04/2008 - About 18 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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GARY L MARDER
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GARY L MARDER, DO