MEDICARE: DR. MARNA CUTLER DO

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	207Q00000X	Family Medicine Physician	25MB07822800	NJ

General Provider Information

NPI Number	:	1558329961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARNA CUTLER DO

Provider Business Mailing Address
First Line	:	606 N CLERMONT AVE
Second Line	:
City	:	MARGATE CITY
State	:	NJ
Zip	:	08402-2036
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1015 NEW RD
Second Line	:
City	:	NORTHFIELD
State	:	NJ
Zip	:	08225-1600
Country	:	US
Telephone Number	:	609-890-1050
Fax Number	:	609-890-0950

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

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	04/27/2022

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