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Organization
MYRA MARCUS PA
Active
Organization
MYRA MARCUS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MYRA MARCUS PHD (PRESIDENT)
(201) 218-4788
Entity
Organization
Contact information
Practice address
3208 WINDSOR PARK CT, ENGLEWOOD, NJ 07631-4982
(201) 218-4788
Mailing address
3208 WINDSOR PARK CT, ENGLEWOOD, NJ 07631-4982
(201) 218-4788
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW3305
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659352615
NPI INDIVIDUAL
FL
Enumeration date
12/21/2007
Last updated
12/28/2007
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