MEDICARE: DR. JAMES P MARLYS 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	207R00000X	Internal Medicine Physician	25MA04828300	NJ

General Provider Information

NPI Number	:	1386749315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES P MARLYS MD

Provider Business Mailing Address
First Line	:	2200 RIVER ROAD
Second Line	:
City	:	POINT PLEASANT
State	:	NJ
Zip	:	08742
Country	:	US
Telephone Number	:	732-892-2114
Fax Number	:	732-892-1218

Provider Business Practice Location Address
First Line	:	2200 RIVER ROAD
Second Line	:
City	:	POINT PLEASANT
State	:	NJ
Zip	:	08742
Country	:	US
Telephone Number	:	732-892-2114
Fax Number	:	732-892-1218

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

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	07/30/2020

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