Provider Demographics
NPI:1477569366
Name:MARSHALL, JOHN P (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:P
Last Name:MARSHALL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4802 10TH AVE
Mailing Address - Street 2:DEPARTMENT OF EMERGENCY MEDICINE
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-2916
Mailing Address - Country:US
Mailing Address - Phone:718-283-6029
Mailing Address - Fax:718-635-7228
Practice Address - Street 1:4802 10TH AVE
Practice Address - Street 2:DEPARTMENT OF EMERGENCY MEDICINE
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-2916
Practice Address - Country:US
Practice Address - Phone:718-283-6028
Practice Address - Fax:718-635-7228
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY229581207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine