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Dr. Nick Maravich, MD
Diagnostic Radiology Physician in Mount Laurel, New Jersey
NPI 1104828599

Nick Maravich is a Diagnostic Radiology Physician based in Hainesport, NJ and is specialized in Diagnostic Radiology. Nick Maravich practices in Mount Laurel, NJ and has the professional credentials of MD. The NPI Number for Nick Maravich is 1104828599 and holds a License No. 25MA06540900 (New Jersey).

The current practice location address for Nick Maravich is 210 Ark Rd, Mount Laurel, NJ and can be reached out via phone at 856-778-8860 and via fax at 609-261-4180.

Location: 210 Ark Rd, Mount Laurel, NJ, 08036-2702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104828599
Provider Name
Nick Maravich
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
210 Ark Rd, Mount Laurel, NJ, 08036-2702
Phone Number
856-778-8860
Fax Number
609-261-4180
Provider Enumeration Date
08/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7542607 05 NJ
institution
Provider Business Practice Location Address Details
Address
210 Ark Rd
City
Mount Laurel
State
New Jersey
Zip
08054-3188
Phone Number
856-778-8860
Fax Number
609-261-4180
person
Provider Business Mailing Address Details
Address
210 Ark Rd
City
Mount Laurel
State
New Jersey
Zip
08054-3188
Phone Number
856-778-8860
Fax Number
609-261-4180
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
25MA06540900 (New Jersey)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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