Individual
MARQUIS JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8001 US-130, DELRAN, NJ 08075
(856) 461-1400
Mailing address
9 FAWN CT, DELRAN, NJ 08075-1643
(609) 222-1880
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00693000
NJ
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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