Provider Demographics
NPI:1407933260
Name:TODD, MARY B
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:B
Last Name:TODD
Suffix:
Gender:F
Credentials:
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Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 US HIGHWAY 202
Mailing Address - Street 2:JANSSEN PHARMACEUTICAL COMPANY OF J&J
Mailing Address - City:RARITAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08869-1422
Mailing Address - Country:US
Mailing Address - Phone:908-927-3506
Mailing Address - Fax:908-927-3800
Practice Address - Street 1:700 US HIGHWAY 202
Practice Address - Street 2:JANSSEN PHARMACEUTICAL COMPANY OF J&J
Practice Address - City:RARITAN
Practice Address - State:NJ
Practice Address - Zip Code:08869-1422
Practice Address - Country:US
Practice Address - Phone:908-927-3506
Practice Address - Fax:908-927-3800
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2015-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB05955300207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5596203Medicaid
NJ128418AHEMedicare PIN
NJE40182Medicare UPIN