Organization
JOSE Y MARMOL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE YUZON MARMOL JR. MD (PRESIDENT)
(201) 435-6675
Entity
Organization
Contact information
Practice address
172 NEWARK AVENUE, JERSEY CITY, NJ 07302
(201) 435-6675
(201) 435-7610
Mailing address
PO BOX 3105, JERSEY CITY, NJ 07303-3105
(201) 435-6675
(201) 435-7610
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA05186800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1041321
HORIZON NJ HEALTH
NJ
05
—
3951103
—
NJ
01
—
HUL00000600
AMERI CHOICE
NJ
Enumeration date
11/21/2006
Last updated
12/10/2007
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