MEDICARE: DR. GEOBEL A MARIN M.D.

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	207RG0100X	Gastroenterology Physician	26199	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2549794	OTHER	NJ	AETNA
2	0081639000	OTHER	NJ	AMERIHEALTH
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEP058	OTHER		OXFORD

General Provider Information

NPI Number	:	1629076476
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEOBEL A MARIN M.D.

Provider Business Mailing Address
First Line	:	2 CAPITAL WAY
Second Line	:	SUITE 487
City	:	PENNINGTON
State	:	NJ
Zip	:	08534-2521
Country	:	US
Telephone Number	:	609-818-1900
Fax Number	:	609-818-1908

Provider Business Practice Location Address
First Line	:	2 CAPITAL WAY
Second Line	:	SUITE 487
City	:	PENNINGTON
State	:	NJ
Zip	:	08534-2521
Country	:	US
Telephone Number	:	609-818-1900
Fax Number	:	609-818-1908

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

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	09/27/2012

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