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Individual

JOSE D. ESPINAL-MARIOTTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
224 HAMBURG TPKE, DEPT. OF PATHOLOGY, WAYNE, NJ 07470-2111
(973) 942-6900
(973) 389-4019
Mailing address
PO BOX 144333, ORLANDO, FL 32814-4333
(407) 422-9831
(407) 648-2065

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
25MA04887300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0516902
NJ
Enumeration date
11/22/2005
Last updated
08/03/2007
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