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Contact Information

MARION J FEDORUK, MD
19722 MACARTHUR BLVD
IRVINE, CA92612-2404
 Phone: 949-824-8641
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Medicine

2083X0100X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for MARION J FEDORUK · (Male)

NPI # 1265500581
Status Active
Credentials MD
Entity Individual
Enumeration date 12/04/2006
Last updated 11/14/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 000000G39629
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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