| Jose Y Marmol Pc | |
|
172 Newark Avenue Jersey City NJ 07302 | |
| (201) 435-6675 | |
| (201) 435-7610 |
| Full Name | Jose Y Marmol Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 172 Newark Avenue, Jersey City, New Jersey |
| Authorized Official Name and Position | Jose Yuzon Marmol (PRESIDENT) |
| Authorized Official Contact | 2014356675 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Y Marmol Pc Po Box 3105 Jersey City NJ 07303-3105 Ph: (201) 435-6675 | Jose Y Marmol Pc 172 Newark Avenue Jersey City NJ 07302 Ph: (201) 435-6675 |
| NPI Number | 1790850006 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 12/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790850006 | NPI | - | NPPES |
| 3951103 | Medicaid | NJ | |
| 1041321 | Other | NJ | HORIZON NJ HEALTH |
| HUL00000600 | Other | NJ | AMERI CHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA05186800 (New Jersey) | Primary |
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