| Tali Marcus Llc | |
|
52-1 Bergen Ridge Rd North Bergen NJ 07047-7252 | |
| (201) 855-6459 | |
| Not Available |
| Full Name | Tali Marcus Llc |
|---|---|
| Speciality | Social Worker |
| Location | 52-1 Bergen Ridge Rd, North Bergen, New Jersey |
| Authorized Official Name and Position | Talila Marcus (SOLE MEMBER) |
| Authorized Official Contact | 2018556459 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tali Marcus Llc 52-1 Bergen Ridge Rd North Bergen NJ 07047-7252 Ph: () - | Tali Marcus Llc 52-1 Bergen Ridge Rd North Bergen NJ 07047-7252 Ph: (201) 855-6459 |
| NPI Number | 1043880412 |
|---|---|
| Provider Enumeration Date | 06/29/2021 |
| Last Update Date | 06/29/2021 |
| Certification Date | 06/29/2021 |
| Medicare PECOS PAC ID | 7214335058 |
|---|---|
| Medicare Enrollment ID | O20211008002599 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043880412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Talila Marcus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265903769 PECOS PAC ID: 8123358413 Enrollment ID: I20190930002443 |
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