Provider Demographics
NPI:1760642730
Name:CETEL, MARVIN A (MD)
Entity Type:Individual
Prefix:DR
First Name:MARVIN
Middle Name:A
Last Name:CETEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:651 ROUTE 73 N STE 406
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-3452
Mailing Address - Country:US
Mailing Address - Phone:856-596-1872
Mailing Address - Fax:856-596-9430
Practice Address - Street 1:651 ROUTE 73 N STE 406
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-3452
Practice Address - Country:US
Practice Address - Phone:856-596-1872
Practice Address - Fax:856-596-9430
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-13
Last Update Date:2015-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA03900700207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine