Provider Demographics
NPI:1477691780
Name:MARON & RODRIGUES MEDICAL GROUP LLC
Entity Type:Organization
Organization Name:MARON & RODRIGUES MEDICAL GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ABBE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-822-2000
Mailing Address - Street 1:10 JAMES ST
Mailing Address - Street 2:SUITE 150
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-1405
Mailing Address - Country:US
Mailing Address - Phone:973-822-2000
Mailing Address - Fax:973-822-2001
Practice Address - Street 1:10 JAMES ST
Practice Address - Street 2:SUITE 150
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-1405
Practice Address - Country:US
Practice Address - Phone:973-822-2000
Practice Address - Fax:973-822-2001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
088185Medicare PIN