Individual
MARSHALL MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 BERGEN ST # UH-I248, NEWARK, NJ 07103-2496
(973) 972-6056
Mailing address
150 BERGEN ST # UH-I248, NEWARK, NJ 07103-2496
(973) 972-6056
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA11117800
NJ
207RH0000X
Hematology (Internal Medicine) Physician
Primary
25MA11117800
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/23/2017
Last updated
04/03/2025
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