Healthcare Provider Details

I. General information

NPI: 1013140995
Provider Name (Legal Business Name): NORMAN SOLOMAN MARCELLE JR. M.S.W.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2009
Last Update Date: 08/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 MARKET ST
CAMDEN NJ
08102-1526
US

IV. Provider business mailing address

718 WILLIAM ST
TRENTON NJ
08610-6106
US

V. Phone/Fax

Practice location:
  • Phone: 856-541-1700
  • Fax: 856-541-1554
Mailing address:
  • Phone: 609-392-0569
  • Fax: 609-392-6224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: