Organization
R.C .LILLIE S.J. MARDER, D.P.M.'S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN J. MARDER D.P.M. (PODIATRIST)
(732) 870-9700
Entity
Organization
Contact information
Practice address
1049 BROADWAY, WEST LONG BRANCH, NJ 07764
(732) 870-9700
(732) 571-7873
Mailing address
1049 BROADWAY, WEST LONG BRANCH, NJ 07764
(732) 870-9700
(732) 571-7873
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MD01309
NJ
213E00000X
Podiatrist
MD01368
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3241904
—
NJ
Enumeration date
07/03/2006
Last updated
10/05/2010
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