Individual
MR. MARC MOLINARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-2425
Mailing address
1 FEDERAL ST STE SW200, CAMDEN, NJ 08103-1155
(856) 356-4924
(856) 356-4710
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00314900
NJ
367500000X
Certified Registered Nurse Anesthetist
RN519398L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009772960001
—
PA
01
—
P00128045
RAILROAD MEDICARE PIN
—
Enumeration date
06/05/2006
Last updated
04/11/2018
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