Provider Demographics
NPI:1891717955
Name:MARKOS, MARINA A (MD)
Entity Type:Individual
Prefix:MRS
First Name:MARINA
Middle Name:A
Last Name:MARKOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10439
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08650-4039
Mailing Address - Country:US
Mailing Address - Phone:609-581-5303
Mailing Address - Fax:609-631-6839
Practice Address - Street 1:2119 HIGHWAY 33
Practice Address - Street 2:SUITE B
Practice Address - City:HAMILTON SQUARE
Practice Address - State:NJ
Practice Address - Zip Code:08690-1740
Practice Address - Country:US
Practice Address - Phone:609-581-5303
Practice Address - Fax:609-631-6839
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07439700207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP00456982OtherRAILROAD MEDICARE
NJP00456982OtherRAILROAD MEDICARE
NJ064755Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER