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Individual

MS. MARJORIE WORMSER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
300 MAIN ST, CHATHAM, NJ 07928-2413
(973) 635-0202
Mailing address
5 COMMONWEALTH DR, BASKING RIDGE, NJ 07920-3058
(908) 337-6876

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
46TR00417200
NJ

Other

Enumeration date
09/10/2011
Last updated
09/10/2011
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