Individual
MARC C MEULENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
12 RIDGE ST, BASKING RIDGE, NJ 07920-1785
(908) 766-7546
Mailing address
12 RIDGE ST, BASKING RIDGE, NJ 07920-1785
(908) 766-7546
(908) 766-4355
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25MA09007000
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/12/2008
Last updated
10/21/2020
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