Individual
DR. MARC PRESTON ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
559 BROAD ST, NEWARK, NJ 07102-4503
(973) 622-3890
Mailing address
559 BROAD ST, NEWARK, NJ 07102-4503
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA03289200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3851800
—
NJ
Enumeration date
08/31/2006
Last updated
07/08/2007
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