Individual
DR. MARINA CHEKMAREVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL, MEB212, NEW BRUNSWICK, NJ 08901-1928
(732) 235-8121
Mailing address
66 WEST GILBERT ST, RED BANK, NJ 07701
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA08096300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116216CTA
—
NJ
01
—
P00451821
RR MCR PTAN
NJ
Enumeration date
05/24/2007
Last updated
08/10/2009
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