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NPI Code Detail

MEDICARE: MARCIA ANNE DOVER MD

MEDICARE: MARCIA ANNE DOVER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0400XNeurology PhysicianMA75817NJ

General Provider Information

NPI Number : 1356452312
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCIA ANNE DOVER MD
Provider Business Mailing Address
First Line : 369 WEST BLACKWELL ST
Second Line :
City : DOVER
State : NJ
Zip : 07801-2560
Country : US
Telephone Number : 973-361-7606
Fax Number : 973-361-8942
Provider Business Practice Location Address
First Line : 369 WEST BLACKWELL ST
Second Line :
City : DOVER
State : NJ
Zip : 07801-2560
Country : US
Telephone Number : 973-361-7606
Fax Number : 973-361-8942
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 07/08/2007

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