Organization
THOMAS MARZILI MD LLC
Active
Parent organization
MEDVANTX, INC.
Other names
Thomas Marzili MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (VP OF OPERATIONS)
(858) 964-1506
Entity
Organization
Contact information
Practice address
128 ROUTE 70, SUITE 13, MEDFORD, NJ 08055-2371
(609) 451-2020
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
25MA05637000
NJ
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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