Marian Medical Clinic PC

NPI #1730341801 in Millburn, New Jersey

Provider Information

NPI Number
1730341801
Entity Type
Organization
Organization Name
Marian Medical Clinic PC
Primary Specialty
Specialist
Enumeration Date
Jun 30, 2008
Last Updated
Jun 30, 2008

Practice Location

Address
116 MILLBURN AVENUE
Address 2
SUITE 207
ZIP Code
07041-1919
Phone
(973) 921-9321

Authorized Official

Name
MISS MARIAVIDA TUPAZ TECSON, MD
Title
OWNER PHYSICIAN
Phone
(973) 921-9321

Specialties & Taxonomy Codes

Specialty
Specialist

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