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Organization
R.C .LILLIE S.J. MARDER, D.P.M.'S
Active
Organization
R.C .LILLIE S.J. MARDER, D.P.M.'S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN J. MARDER D.P.M. (PODIATRIST)
(732) 870-9700
Entity
Organization
Contact information
Practice address
1049 BROADWAY, WEST LONG BRANCH, NJ 07764
(732) 870-9700
(732) 571-7873
Mailing address
1049 BROADWAY, WEST LONG BRANCH, NJ 07764
(732) 870-9700
(732) 571-7873
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MD01309
NJ
213E00000X
Podiatrist
MD01368
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3241904
—
NJ
Enumeration date
07/03/2006
Last updated
10/05/2010
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