Individual
DR. JULIAN MARK MARESSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
181 W WHITE HORSE PIKE, SUITE 100, BERLIN, NJ 08009-2032
(856) 767-3234
(856) 767-3518
Mailing address
402 LIPPINCOTT DR, MARLTON, NJ 08053-4112
(856) 782-3300
(856) 504-8029
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
MB055641
NJ
207QA0505X
Adult Medicine Physician
Primary
MB055641
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5321204
—
NJ
Enumeration date
08/30/2006
Last updated
05/25/2011
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