Individual
MARIANNE HOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
23 MAIN ST, STE D1, HOLMDEL, NJ 07733-2136
(732) 571-1000
(732) 784-9704
Mailing address
23 MAIN ST, STE D1, HOLMDEL, NJ 07733-2136
(732) 571-1000
(732) 784-9704
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
25MB007885200
NJ
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
25MB07885200
NJ
208M00000X
Hospitalist Physician
25MB007885200
NJ
208M00000X
Hospitalist Physician
25MB07885200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0109428
—
NJ
Enumeration date
05/26/2006
Last updated
10/01/2018
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