Individual
JOSE Y MARMOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
172 NEWARK AVENUE, JERSEY CITY, NJ 07302
(201) 435-6675
(201) 435-7610
Mailing address
PO BOX 3105, JERSEY CITY, NJ 07303-3105
(201) 435-6675
(201) 435-7610
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA05186800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1041321
HORIZON HEALTH
NJ
05
—
3951103
—
NJ
01
—
HUL00000600
AMERICHOICE
NJ
Enumeration date
01/11/2007
Last updated
03/19/2009
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