Organization
MARILYN A. KUBICHEK, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARILYN A. KUBICHEK MD (PRESIDENT)
(973) 377-7822
Entity
Organization
Contact information
Practice address
256 COLUMBIA TPKE, SUITE 109, FLORHAM PARK, NJ 07932-1209
(973) 377-7822
(973) 377-7821
Mailing address
PO BOX 564, CHATHAM, NJ 07928-0564
(973) 377-7822
(973) 377-7821
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
25MA06067000
NJ
Other
Enumeration date
11/14/2007
Last updated
10/24/2012
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