Individual
MARISSA BABNEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4190 CITY AVE, PHILADELPHIA, PA 19131-1626
(215) 871-6693
Mailing address
151 FRIES MILL RD STE 301, TURNERSVILLE, NJ 08012-2016
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
25MB10824900
NJ
Other
Enumeration date
02/20/2015
Last updated
06/30/2020
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