| Marc Cantillon Md | |
|
134 Walnut St Livingston NJ 07039-2513 | |
| (973) 462-0496 | |
| Not Available |
| Full Name | Marc Cantillon Md |
|---|---|
| Speciality | Counselor |
| Location | 134 Walnut St, Livingston, New Jersey |
| Authorized Official Name and Position | Lily Mo (OFFICE MANAGER) |
| Authorized Official Contact | 9734620496 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marc Cantillon Md 134 Walnut St Livingston NJ 07039-2513 Ph: (973) 462-0496 | Marc Cantillon Md 134 Walnut St Livingston NJ 07039-2513 Ph: (973) 462-0496 |
| NPI Number | 1558709451 |
|---|---|
| Provider Enumeration Date | 06/13/2013 |
| Last Update Date | 06/13/2013 |
| Medicare PECOS PAC ID | 9335376045 |
|---|---|
| Medicare Enrollment ID | O20131227001608 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558709451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 25MA07805000 (New Jersey) | Primary |
| Provider Name | Marc Cantillon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427037803 PECOS PAC ID: 4880637461 Enrollment ID: I20050606000033 |
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