Individual
MARC NORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPRS
Contact information
Practice address
1931 BRUNSWICK AVE, LAWRENCE, NJ 08648-4603
(609) 396-5874
Mailing address
101 FOSTER RD, TOMS RIVER, NJ 08753-6209
(609) 743-9737
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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