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Individual

DR. MARC NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
185 N ROUTE 73, WEST BERLIN, NJ 08091-9208
(856) 767-5033
Mailing address
55 CAMEO DR, CHERRY HILL, NJ 08003-5127
(856) 424-5611

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4802
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01000670400
AMERICHOICE
NJ
01
0834480000
AMERIHEALTH
NJ
01
2K0196
HEALTHNET
NJ
01
451960
AETNA
NJ
05
5223407
NJ
01
J023980
TRICARE
NJ
Enumeration date
01/17/2006
Last updated
07/08/2007
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