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Organization

NEUROLOGIC SPECIALTIES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANTHONY I MARQUINEZ M.D. (AUTHORIZED OFFICIAL)
(201) 488-1515
Entity
Organization

Contact information

Practice address
211 ESSEX ST STE 202, HACKENSACK, NJ 07601-3245
(201) 488-1515
(201) 488-9471
Mailing address
211 ESSEX ST STE 202, HACKENSACK, NJ 07601-3245
(201) 488-1515
(201) 488-9471

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25MA06750200
NJ

Other

Enumeration date
08/22/2013
Last updated
08/22/2013
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