Individual
MR. MARC DANIEL EDMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
435 53RD ST APT D5, WEST NEW YORK, NJ 07093-2058
(201) 455-9825
Mailing address
435 53RD ST APT D5, WEST NEW YORK, NJ 07093-2058
(201) 455-9825
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP07398600
NJ
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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