MEDICARE: DR. MARSHALL FRANCIS LAUER MD

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
1	207RA0401X	Addiction Medicine (Internal Medicine) Physician	25MA03922400	NJ
2	207R00000X	Internal Medicine Physician	25MA03922400	NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	381020	OTHER	NJ	MEDICARE GROUP

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3121287P	OTHER	NJ	CIGNA

General Provider Information

NPI Number	:	1306800859
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARSHALL FRANCIS LAUER MD

Provider Business Mailing Address
First Line	:	1415 MARLTON PIKE E STE LL5
Second Line	:
City	:	CHERRY HILL
State	:	NJ
Zip	:	08034-2229
Country	:	US
Telephone Number	:	856-285-7200
Fax Number	:	856-285-7201

Provider Business Practice Location Address
First Line	:	414 HADDON AVE
Second Line	:
City	:	COLLINGSWOOD
State	:	NJ
Zip	:	08108-1330
Country	:	US
Telephone Number	:	856-854-7800
Fax Number	:	856-854-1687

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2006
Last Update Date	:	02/11/2019

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