Individual
DR. MARVIN SEAN RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
32 JACOBY ST, MAPLEWOOD, NJ 07040-3025
(862) 205-4931
Mailing address
32 JACOBY ST, MAPLEWOOD, NJ 07040-3025
(862) 205-4931
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
A1473834
NJ
Other
Enumeration date
07/10/2017
Last updated
01/02/2025
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