Individual
MARWAN ASSALEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
591 SUMMIT AVE, SUITE 205, JERSEY CITY, NJ 07306-2714
(201) 653-9115
(201) 653-8119
Mailing address
591 SUMMIT AVE, SUITE 205, JERSEY CITY, NJ 07306-2714
(201) 653-9115
(201) 653-8119
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA05278500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7903006
—
NJ
Enumeration date
09/21/2006
Last updated
09/18/2007
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