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NPI Code Detail

MEDICARE: MARATHON MEDICAL ASSOC.,P.A.

MEDICARE: MARATHON MEDICAL ASSOC.,P.A.
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
1207R00000XInternal Medicine PhysicianNJ

General Provider Information

NPI Number : 1487705786
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARATHON MEDICAL ASSOC.,P.A.
Provider Business Mailing Address
First Line : 52 E NEW YORK AVE
Second Line :
City : SOMERS POINT
State : NJ
Zip : 08244-2380
Country : US
Telephone Number : 609-653-0088
Fax Number : 609-653-8941
Provider Business Practice Location Address
First Line : 52 E NEW YORK AVE
Second Line :
City : SOMERS POINT
State : NJ
Zip : 08244-2380
Country : US
Telephone Number : 609-653-0088
Fax Number : 609-653-8941
Authorized Official
Title or Position : OFFICE MANAGER
Name : LYDIA S JONES
Credential :
Telephone Number : 609-653-0088
Provider Enumeration Date : 01/15/2007
Last Update Date : 08/22/2020

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Directions to “MARATHON MEDICAL ASSOC.,P.A. ” Practice Location

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