Provider Demographics
NPI:1346919685
Name:DOCTOR RESCUE: IV THERAPY & PAIN MGMT
Entity Type:Organization
Organization Name:DOCTOR RESCUE: IV THERAPY & PAIN MGMT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR NP
Authorized Official - Prefix:DR
Authorized Official - First Name:MARCELO
Authorized Official - Middle Name:P
Authorized Official - Last Name:MARIN
Authorized Official - Suffix:
Authorized Official - Credentials:DOCTOR NP
Authorized Official - Phone:201-693-3372
Mailing Address - Street 1:7 LINDEN RD FL 1
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07514-1317
Mailing Address - Country:US
Mailing Address - Phone:201-693-3372
Mailing Address - Fax:
Practice Address - Street 1:61-69 PARK AVE STE 1
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07501-5241
Practice Address - Country:US
Practice Address - Phone:973-523-8320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-09
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care