Individual
MR. MARLON DANIEL GOMES COELHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-6946
(973) 923-2441
Mailing address
4 RUTGERS DRIVE - 2, NEWARK, NJ 07103
(925) 765-2211
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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