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Individual

MAREK ROBERT LUPICKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 PERRINE RD, SUITE 211, OLD BRIDGE, NJ 08857-2842
(732) 553-1000
(732) 553-1003
Mailing address
200 PERRINE RD, SUITE 211, OLD BRIDGE, NJ 08857-2842
(732) 553-1000
(732) 553-1003

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
NJMA64530
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7162308
NJ
Enumeration date
09/26/2006
Last updated
10/08/2007
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