Healthcare Provider Details

I. General information

NPI: 1235216045
Provider Name (Legal Business Name): BRIAN F MARCUS DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 06/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300B PRINCETON HIGHTSTOWN RD SUITE 201
EAST WINDSOR NJ
08520-1400
US

IV. Provider business mailing address

300B PRINCETON HIGHTSTOWN RD SUITE 201
EAST WINDSOR NJ
08520-1400
US

V. Phone/Fax

Practice location:
  • Phone: 609-448-7300
  • Fax: 609-448-8022
Mailing address:
  • Phone: 609-448-7300
  • Fax: 609-448-8022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMB070794
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: