Organization
MARAH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RO MI SEO (NURSE PRACTITIONER)
(201) 673-4856
Entity
Organization
Contact information
Practice address
155 N DEAN ST STE 3A, ENGLEWOOD, NJ 07631-2524
(201) 673-4856
Mailing address
2100 LINWOOD AVE APT 21J, FORT LEE, NJ 07024-3180
(201) 673-4856
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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