Provider Demographics
NPI:1346226115
Name:MARION, WILLIAM JOSEPH (DO)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JOSEPH
Last Name:MARION
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:426 STATE RT 515
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:NJ
Mailing Address - Zip Code:07462-3027
Mailing Address - Country:US
Mailing Address - Phone:973-764-5666
Mailing Address - Fax:973-764-5778
Practice Address - Street 1:426 STATE RT 515
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:NJ
Practice Address - Zip Code:07462-3027
Practice Address - Country:US
Practice Address - Phone:973-764-5666
Practice Address - Fax:973-764-5778
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB07316400207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5996410OtherGHI
NJ1846484OtherUNITED HEALTHCARE
NJ5598108OtherFIRST HEALTH
NJ7004396OtherCIGNA
NJ3704975OtherAETNA
NJP2666266OtherOXFORD
NJ1846484OtherUNITED HEALTHCARE
NJ085554Medicare ID - Type Unspecified