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NPI 1558329961

NPI 1558329961 : MARNA CUTLER DO : NORTHFIELD, NJ

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General NPI Number Information
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    NPI Number           |    1558329961
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    Entity Type          |    Individual 
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    Provider Name        |    MARNA CUTLER DO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/03/2006
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    Last Update Date     |    04/27/2022
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Provider Practice Location Address
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    Address Line         |    1015 NEW RD 
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    City                 |    NORTHFIELD
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    State                |    NJ
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    Zip                  |    08225-1600
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    Country              |    US
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    Telephone            |    609-890-1050
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    Fax                  |    609-890-0950
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Provider Business Mailing Address
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    Address Line         |    606 N CLERMONT AVE 
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    City                 |    MARGATE CITY
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    State                |    NJ
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    Zip                  |    08402-2036
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    25MB07822800
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    License Number State |    NJ
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