Individual
PAUL MARQUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 RICHMOND AVE, POINT PLEASANT BORO, NJ 08742-3056
(732) 295-0072
(732) 295-0224
Mailing address
5525 RESEARCH PARK DRIVE, 4TH FLOOR, BALTIMORE, MD 21228-4664
(732) 643-2070
(732) 643-2015
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA07324600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-09466
EVERCARE
—
01
—
5221142040
BCBS OF NJ
—
05
—
8765600
—
NJ
Enumeration date
07/02/2006
Last updated
06/06/2019
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