Doctor Name: | BETTY LOU MARCHANT |
NPI Number: | 1639435506 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | MD025741L |
Business Practice Address: | 7 Killington Ct Old Bridge, NJ - 088573110 |
Business Phone Number: | 7326790017 |
Business Fax Number: | |
Mailing Address: | 7 Killington Ct, OLD BRIDGE |
State: | NJ |
Postal Code: | 088573110 |
Phone Number: | 7326790017 |
Fax Number: | |
NPI Enumeration Date: | 04/05/2012 |
NPI Last Update Date: | 04/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD025741L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |