| Marilyn A. Kubichek, Md, Llc | |
|
256 Columbia Tpke Suite 109 Florham Park NJ 07932-1209 | |
| (973) 377-7822 | |
| (973) 377-7821 |
| Full Name | Marilyn A. Kubichek, Md, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 256 Columbia Tpke, Florham Park, New Jersey |
| Authorized Official Name and Position | Marilyn A. Kubichek (PRESIDENT) |
| Authorized Official Contact | 9733777822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marilyn A. Kubichek, Md, Llc Po Box 564 Chatham NJ 07928-0564 Ph: (973) 377-7822 | Marilyn A. Kubichek, Md, Llc 256 Columbia Tpke Suite 109 Florham Park NJ 07932-1209 Ph: (973) 377-7822 |
| NPI Number | 1962683391 |
|---|---|
| Provider Enumeration Date | 11/14/2007 |
| Last Update Date | 10/24/2012 |
| Medicare PECOS PAC ID | 4789666140 |
|---|---|
| Medicare Enrollment ID | O20040601001209 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962683391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | 25MA06067000 (New Jersey) | Primary |
| Provider Name | Marilyn A Kubichek |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750449286 PECOS PAC ID: 8527059740 Enrollment ID: I20040518001121 |
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