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Individual

DR. DAVID THOMAS MARRON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
179 AVENUE AT THE CMN, STRE 5, SHREWSBURY, NJ 07702-4804
(732) 542-1272
(732) 542-2315
Mailing address
PO BOX 316, OAKHURST, NJ 07755-0316
(732) 660-1115
(732) 660-1152

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC02679
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
222535373
GENERAL INSURANCE ID
NJ
01
MD840402
GHI ID
NJ
01
P767316
AETNA ID
NJ
Enumeration date
03/26/2007
Last updated
07/28/2010
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