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Individual

MARCUS PETER PORCELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
75 VERONICA AVE, SUITE 201, SOMERSET, NJ 08873-5002
(732) 246-4882
(732) 249-5633
Mailing address
629 CRANBURY RD FL 2, EAST BRUNSWICK, NJ 08816-4096
(732) 390-7750
(732) 390-7725

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
25MA04695200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1265623169
GROUP NPI
NJ
01
1790396281
TITAN HEALTH GROUP NPI#
NJ
01
1801850243
RCCA GROUP NPI#
NJ
01
1972594414
INDIVIDUAL NPI
NJ
01
295909
GROUP MEDICARE #
NJ
05
4589301
NJ
01
648329
MEDICARE GROUP PROVIDER
NJ
Enumeration date
11/03/2005
Last updated
05/22/2023
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