| Doctor Name: | DR. MARIAN W MOTE |
| NPI Number: | 1235334814 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPNP |
| License Number: | 26NN05232700 |
| Business Practice Address: | Merchantville Pediatrics- A Division Of Cha 1 S. Centre Street, Suite 100 Merchantville, NJ - 08109 |
| Business Phone Number: | 8566657337 |
| Business Fax Number: | 8566653938 |
| Mailing Address: | 50 Broadacre Dr, MOUNT LAUREL |
| State: | NJ |
| Postal Code: | 080544705 |
| Phone Number: | 8562341031 |
| Fax Number: | 8566656907 |
| NPI Enumeration Date: | 06/15/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 26NN05232700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |