Individual
DR. MARILYN ANN KUBICHEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
256 COLUMBIA TPKE, SUITE 109, FLORHAM PARK, NJ 07932-1209
(973) 377-7822
(973) 377-7821
Mailing address
PO BOX 564, CHATHAM, NJ 07928-0564
(973) 377-7822
(973) 377-7821
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
25MA06067000
NJ
2084N0600X
Clinical Neurophysiology Physician
25MA06067000
NJ
Other
Enumeration date
12/05/2006
Last updated
10/24/2012
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