MEDICARE: MARSHALL PRESSMAN D.O.

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	MB30456	NJ

General Provider Information

NPI Number	:	1811001514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARSHALL PRESSMAN D.O.

Provider Business Mailing Address
First Line	:	10 ROLAND COURT
Second Line	:
City	:	CHERRY HILL
State	:	NJ
Zip	:	08003
Country	:	US
Telephone Number	:	856-795-7378
Fax Number	:	856-795-3325

Provider Business Practice Location Address
First Line	:	420 MONMOUTH ST
Second Line	:
City	:	GLOUCESTER CITY
State	:	NJ
Zip	:	08030-1722
Country	:	US
Telephone Number	:	856-456-5997
Fax Number	:	856-456-5713

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

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	07/08/2007

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