Individual
DR. MARIO V MAGASIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD.
Contact information
Practice address
406 LIPPINCOTT DRIVE, SUITE E, MARLTON, NJ 08053-4128
(856) 983-1900
(856) 983-1914
Mailing address
406 LIPPINCOTT DRIVE, SUITE E, MARLTON, NJ 08053-4128
(856) 983-1900
(856) 983-1914
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA05682000
NJ
207RG0100X
Gastroenterology Physician
25MA5682000
NJ
207RG0100X
Gastroenterology Physician
MA707587
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100009294
RAILROAD MEDICARE
NJ
05
—
6458009
—
NJ
Enumeration date
08/21/2006
Last updated
10/26/2011
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