Provider Demographics
NPI:1356423008
Name:MARMAR, JOEL L (MD)
Entity type:Individual
Prefix:
First Name:JOEL
Middle Name:L
Last Name:MARMAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 COOPER PLZ
Mailing Address - Street 2:SUITE 502
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1438
Mailing Address - Country:US
Mailing Address - Phone:856-968-7433
Mailing Address - Fax:
Practice Address - Street 1:3 COOPER PLZ
Practice Address - Street 2:SUITE 411
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1438
Practice Address - Country:US
Practice Address - Phone:856-963-3577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA24609208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ010001636OtherAMERICHOICE
NJ1043878OtherHORIZON NJ HEALTH
NJ1245412OtherCIGNA
PA015254500004Medicaid
NJ3430103Medicaid
NJP1241748OtherOXFORD
NJ0072606000OtherAMERIHEALTH/KEYSTONE/IBC
NJ30419OtherAMERIHEALTH PPO/PA BS
NJ30419OtherPA BS HIGHMARK
NJ340016344OtherRR MEDICARE
NJ14285OtherUNIVERSITY HEALTH PLAN
NJ769065OtherUNITED HEALTHCARE
NJ2159935OtherAETNA
NJ3K6095OtherHEALTHNET
NJ340016344OtherRR MEDICARE
NJ2159935OtherAETNA
NJ030419 AN0Medicare PIN