Individual
MARC J DEVITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MA082323
NJ
208000000X
Pediatrics Physician
Primary
MA082323
NJ
Other
Enumeration date
09/12/2007
Last updated
11/10/2008
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