Individual
DR. MARIAN W MOTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
MERCHANTVILLE PEDIATRICS- A DIVISION OF CHA, 1 S. CENTRE STREET, SUITE 100, MERCHANTVILLE, NJ 08109
(856) 665-7337
(856) 665-3938
Mailing address
50 BROADACRE DR, MOUNT LAUREL, NJ 08054-4705
(856) 234-1031
(856) 665-6907
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NN05232700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NN05232700
NJ WITH PERSCRIPTIVE AUTH
NJ
Enumeration date
06/15/2007
Last updated
03/07/2023
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