Active NPIOrganization

Marian Medical Clinic PC

Specialist in Millburn, New Jersey

NPI Number1730341801
Practice location
116 Millburn Avenue, Suite 207, Millburn, NJ 07041-1919
Fax
973-921-9323
Last updated
June 30, 2008

Marian Medical Clinic PC is a healthcare organization 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 (NJ). The current practice location address for Marian Medical Clinic PC is 116 Millburn Avenue, Suite 207, Millburn, NJ 07041-1919 and can be reached out via phone at 973-921-9321 and via fax at 973-921-9323.

Provider Profile Details

NPI Number
1730341801
Provider Name
Marian Medical Clinic PC
Provider Entity Type
Organization
Address
116 Millburn Avenue, Suite 207, Millburn, NJ 07041-1919
Phone Number
973-921-9321
Fax Number
973-921-9323
Primary Taxonomy
Specialist · 174400000X
Organization Subpart
No
Authorized Official
Miss Mariavida Tupaz Tecson, MD · Owner Physician · 973-921-9321
Provider Enumeration Date
June 30, 2008
Last Update Date
June 30, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
116 Millburn Avenue
Suite 207
Millburn, NJ 07041-1919
Zip
07041-1919
Phone Number
973-921-9321
Fax Number
973-921-9323
Millburn, NJ 07041Get directions →

Provider Business Mailing Address Details

Address
116 Millburn Avenue
Suite 207
Millburn, NJ 07041-1919
City
Millburn
State
NJ
Zip
07041-1919
Phone Number
973-921-9321
Fax Number
973-921-9323

License Information

License Number
25MA0747600
License State
NJ
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marian Medical Clinic PC?

The NPI number of Marian Medical Clinic PC is 1730341801. It was assigned on June 30, 2008 and is currently active in the NPPES registry.

What is the specialty of Marian Medical Clinic PC?

Marian Medical Clinic PC is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number 25MA0747600.

Where does Marian Medical Clinic PC practice?

The practice location is 116 Millburn Avenue, Suite 207, Millburn, NJ 07041-1919. The office can be reached at 973-921-9321 (phone) or 973-921-9323 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730341801 directly on the NPPES registry website.

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