Marian Medical Clinic Pc
LBN: Marian Medical Clinic Pc
Marian Medical Clinic Pc is an health care organization with primary practice located at 116 Millburn Avenue Suite 207, Millburn NJ 07041-1919. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Marian Medical Clinic Pc can be contacted via phone (973) 921-9321, or through Tecson, Mariavida Tupaz via phone (973) 921-9321.
Contact Information
Primary practice address
116 Millburn Avenue Suite 207
Millburn NJ 07041-1919
Phone: (973) 921-9321
Fax: (973) 921-9323
Website:
Authorized official contact:
Name: Tecson, Mariavida Tupaz Doctor of Medicine (MD)
Phone: (973) 921-9321
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 25MA0747600 | New Jersey |
Profile Details
| NPI number | 1730341801 |
|---|---|
| LBN Legal business name | Marian Medical Clinic Pc |
| DBA Doing business as | |
| Authorized official | Tecson, Mariavida Tupaz Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 30th, 2008 |
| Last updated | Jun 30th, 2008 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730341801 | NPPES |
| New Jersey | Other | P3469886 | OXFORD |
| New Jersey | MEDICAID | 0047031 | OXFORD |
| New Jersey | Other | 2540897 | OXFORD |
| New Jersey | Other | 7135641 3631135 | OXFORD |
| New Jersey | Other | 2K7666 | OXFORD |
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