Individual
MICHAEL J MARCHESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 ROUTE 70, LAKEWOOD, NJ 08701-5940
(732) 901-7314
(732) 901-5704
Mailing address
900 ROUTE 70, SUITE 2A, LAKEWOOD, NJ 08701-5940
(732) 901-7314
(732) 901-5704
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
25MA04795500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0585700
—
NJ
01
—
2265396000
NJ AMERIHEALTH
NJ
01
—
2K5010
NJ ACS/HEALTHNET
NJ
01
—
400319
NJ GHI
NJ
01
—
432022246
NJ BCBS
NJ
05
—
6332200
—
NJ
01
—
P624533
NJ OXFORD HEALTH PLANS
NJ
Enumeration date
11/21/2005
Last updated
12/12/2012
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