MEDICARE: DR. RANA MARZOUQ 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	2022-01808	NC
2	207R00000X	Internal Medicine Physician	25MA11466800	NJ

General Provider Information

NPI Number	:	1659832541
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RANA MARZOUQ MD

Provider Business Mailing Address
First Line	:	PO BOX 7200
Second Line	:
City	:	ROCKY MOUNT
State	:	NC
Zip	:	27804-0200
Country	:	US
Telephone Number	:	252-937-0360
Fax Number	:	252-451-0056

Provider Business Practice Location Address
First Line	:	2727 JOHN F KENNEDY BLVD
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-5507
Country	:	US
Telephone Number	:	201-221-4770
Fax Number	:

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

Provider Enumeration Date	:	03/25/2019
Last Update Date	:	07/16/2025

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