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Individual

HUMBERTO MARIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
125 PATERSON ST, SUITE 2200, NEW BRUNSWICK, NJ 08901-1962
(732) 235-7647
(732) 235-7677
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4947
(732) 212-0051
(732) 212-0713

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
25MA072541
NJ
2084P0800X
Psychiatry Physician
Primary
25MA07254100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8652601
NJ
Enumeration date
10/17/2006
Last updated
07/23/2021
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