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Individual

DR. MARSHA KALLICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
579A CRANBURY RD, SUITE 102, EAST BRUNSWICK, NJ 08816-5426
(732) 613-0711
(732) 613-5783
Mailing address
579A CRANBURY RD, SUITE 102, EAST BRUNSWICK, NJ 08816-5426
(732) 613-0711
(732) 613-5783

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MA40059
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0848107
NJ
01
221957468
TAX ID
NJ
Enumeration date
01/25/2006
Last updated
05/28/2010
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