Individual
MARCO FUNICIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
601 EWING ST, BUILDING A1, PRINCETON, NJ 08540-2757
(609) 454-0760
(609) 454-0761
Mailing address
601 EWING ST, SUITE A-2, PRINCETON, NJ 08540-2757
(609) 454-0760
(609) 454-0761
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MB08763500
NJ
Other
Enumeration date
04/08/2010
Last updated
02/15/2011
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