Individual
MARTINE MARIEALICE LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 RAHWAY AVE, UNION, NJ 07083-6634
(908) 688-8861
Mailing address
367 EMERSON PL, VALLEY STREAM, NY 11580-2832
(516) 792-6609
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA08481100
NJ
Other
Enumeration date
11/20/2008
Last updated
11/20/2008
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