Provider Demographics
NPI:1740249457
Name:MAGNET, MARCUS (MD)
Entity type:Individual
Prefix:DR
First Name:MARCUS
Middle Name:
Last Name:MAGNET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:831 KINGS HWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WEST DEPTFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08096-3162
Mailing Address - Country:US
Mailing Address - Phone:856-853-8730
Mailing Address - Fax:856-853-8870
Practice Address - Street 1:831 KINGS HWY
Practice Address - Street 2:SUITE 100
Practice Address - City:WOODBURY
Practice Address - State:NJ
Practice Address - Zip Code:08096-3162
Practice Address - Country:US
Practice Address - Phone:856-853-8730
Practice Address - Fax:856-853-8870
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2016-12-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA06994500207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ000786022001OtherUNITED HEALTHCARE
NJ7792383OtherAETNA
NJP2737993OtherOXFORD
NJ109697OtherAMERIGROUP
NJ1170131OtherHORIZON NJ HEALTH
NJ2132267000OtherAMERIHEALTH
NJ223318839OtherHORIZON
NJ8767488OtherCIGNA
NJ8990603Medicaid
NJ001449179OtherIBC
NJ01000573900OtherAMERICHOICE
NJ2K3468OtherHEALTHNET
NJ01000573900OtherAMERICHOICE
NJ8767488OtherCIGNA