Individual
DR. MARC H MICHELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
151 FRIES MILL RD, SUITE 400, TURNERSVILLE, NJ 08012-2016
(856) 401-9300
(856) 374-5805
Mailing address
151 FRIES MILL RD, SUITE 400, TURNERSVILLE, NJ 08012-2016
(856) 401-9300
(856) 374-5805
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MB051021
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0477800
—
NJ
Enumeration date
08/17/2005
Last updated
07/10/2007
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