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Marian Medical Clinic Pc
Specialist in Millburn, New Jersey
NPI 1730341801

Marian Medical Clinic Pc is a Specialist based in Millburn, NJ. Marian Medical Clinic Pc practices in Millburn, NJ. The NPI Number for Marian Medical Clinic Pc is 1730341801 and holds a License No. 25MA0747600 (New Jersey).

The current practice location address for Marian Medical Clinic Pc is 116 Millburn Avenue, Millburn, NJ and can be reached out via phone at 973-921-9321 and via fax at 973-921-9323.

Location: 116 Millburn Avenue, Millburn, NJ, 07041-1919
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730341801
Provider Name
Marian Medical Clinic Pc
Credential
Provider Entity Type
Organization
Address
116 Millburn Avenue, Millburn, NJ, 07041-1919
Phone Number
973-921-9321
Fax Number
973-921-9323
Provider Enumeration Date
06/30/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P3469886 01 NJ OXFORD
0047031 05 NJ
2540897 01 NJ UNITED HEALTHCARE
7135641 3631135 01 NJ AETNA
2K7666 01 NJ HEALTHNET
institution
Provider Business Practice Location Address Details
Address
116 Millburn Avenue
City
Millburn
State
New Jersey
Zip
07041-1919
Phone Number
973-921-9321
Fax Number
973-921-9323
person
Provider Business Mailing Address Details
Address
116 Millburn Avenue
City
Millburn
State
New Jersey
Zip
07041-1919
Phone Number
973-921-9321
Fax Number
973-921-9323
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
25MA0747600 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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