Individual
MARC CANTILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
134 WALNUT ST, LIVINGSTON, NJ 07039-2513
(973) 462-0496
(973) 486-8344
Mailing address
134 WALNUT ST, LIVINGSTON, NJ 07039-2513
(973) 462-0496
(973) 486-8344
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
190659
NY
2084P0800X
Psychiatry Physician
Primary
25MA07805000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0070572
—
NJ
01
—
567BS
EMPIRE BCBS
NY
Enumeration date
01/12/2006
Last updated
06/19/2008
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