Individual
IAN MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
89 FRENCH STREET, PEDIATRIC ENDOCRINOLOGY SUITE 2300, NEW BRUNSWICK, NJ 08901
(732) 235-6230
Mailing address
66 WEST GILBERT ST, RED BANK, NJ 07701
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
25MA07638500
NJ
2080P0205X
Pediatric Endocrinology Physician
MA76385
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075272
—
NJ
Enumeration date
07/12/2006
Last updated
07/23/2021
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