Individual
DR. ENA ALYESE MARSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1 W RIDGEWOOD AVE STE 211, PARAMUS, NJ 07652-2361
(201) 251-2323
Mailing address
466 OLD HOOK RD STE 1, EMERSON, NJ 07630-1368
(201) 967-8221
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
242519
NY
207V00000X
Obstetrics & Gynecology Physician
Primary
25MB07969500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0103268
—
NJ
01
—
01130438
AMERIGROUP
NJ
01
—
222290124A
HORIZON BLUE CROSS/BLUE SHIELD
NJ
01
—
25MB07969500BNE
HEALTH FIRST
NJ
01
—
2624630
UNITED HEALTH CARE
NJ
01
—
41114
UHP
NJ
01
—
60017939
HORIXON NJ HEALTH
NJ
01
—
91001907701
AMERICHOICE
NJ
01
—
9652165
AETNA
NJ
Enumeration date
10/11/2006
Last updated
10/25/2022
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