Individual
MR. JOHN MARIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
36 NEWARK AVE, BELLEVILLE, NJ 07109-4119
(973) 759-6569
Mailing address
20 CROSS ST, MONTCLAIR, NJ 07042-2602
(862) 237-1455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
018032
NY
363A00000X
Physician Assistant
Primary
25MP00350700
NJ
Other
Enumeration date
11/03/2014
Last updated
09/04/2020
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