# GJMEC & LT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** doc visits at home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033544531
- **Authorized official:** DR. GENNARO J MARINO SR. DO (PRESIDENT/CEO)
- **Authorized official phone:** (201) 650-1855

## Contact information

- **Practice address:** 54 NICOLE DR, DENVILLE, NJ 07834-9531
- **Practice address phone:** (201) 650-1855
- **Practice address fax:** (973) 366-4315
- **Mailing address:** 54 NICOLE DR, DENVILLE, NJ 07834-9531
- **Mailing address phone:** (201) 650-1855
- **Mailing address fax:** (973) 366-4315

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PH0002X | Hospice and Palliative Medicine (Emergency Medicine) Physician | — | NULL | — |
| 207PH0002X | Hospice and Palliative Medicine (Emergency Medicine) Physician | — | — | — |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/04/2013
- **Last updated:** 09/04/2013
