Provider Demographics
NPI:1588674956
Name:MARMORA, JAMES JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:JOSEPH
Last Name:MARMORA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 95000 LB# 7550
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19195-7550
Mailing Address - Country:US
Mailing Address - Phone:944-351-1735
Mailing Address - Fax:973-290-7495
Practice Address - Street 1:123 DUNHAMS CORNER RD
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-3532
Practice Address - Country:US
Practice Address - Phone:732-254-3300
Practice Address - Fax:732-651-0822
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2018-02-12
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA06440100207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJG65680Medicare UPIN