Individual
MICHAEL JOHN MARCO III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN PMHNP-BC
Contact information
Practice address
1401 MARLTON PIKE E STE 27, CHERRY HILL, NJ 08034-2207
(856) 448-4989
Mailing address
401 ROUTE 73 N BLDG 10, SUITE 320, MARLTON, NJ 08053
(856) 872-7055
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ15040500
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
SP030730
PA
Other
Enumeration date
05/24/2024
Last updated
08/25/2025
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