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NPI Code Detail

MEDICARE: PAUL MARQUETTE M.D.

MEDICARE:   PAUL  MARQUETTE  M.D.
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
1207Q00000XFamily Medicine Physician25MA07324600NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
104-09466OTHEREVERCARE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
35221142040OTHERBCBS OF NJ

General Provider Information

NPI Number : 1831128727
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL MARQUETTE M.D.
Provider Business Mailing Address
First Line : 5525 RESEARCH PARK DRIVE
Second Line : 4TH FLOOR
City : BALTIMORE
State : MD
Zip : 21228-4664
Country : US
Telephone Number : 732-643-2070
Fax Number : 732-643-2015
Provider Business Practice Location Address
First Line : 1515 RICHMOND AVE
Second Line :
City : POINT PLEASANT BORO
State : NJ
Zip : 08742-3056
Country : US
Telephone Number : 732-295-0072
Fax Number : 732-295-0224
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2006
Last Update Date : 06/06/2019

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