Organization
ALEX J MARBAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONNIE PADRON BESU (OFFICE MANAGER)
(305) 557-0642
Entity
Organization
Contact information
Practice address
290 W 49TH ST, HIALEAH, FL 33012-3763
(305) 557-0642
(305) 557-1578
Mailing address
290 WEST 49TH STREET, HIALEAH, FL 33012-3763
(305) 557-0642
(305) 557-1578
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0072806
FL
Other
Enumeration date
12/06/2006
Last updated
12/31/2007
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