Provider Demographics
NPI:1740428929
Name:MARZOUK, FAROUK (MD)
Entity type:Individual
Prefix:DR
First Name:FAROUK
Middle Name:
Last Name:MARZOUK
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 1:1001 LAUREL OAK RD
Mailing Address - Street 2:STE. D1
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-3512
Mailing Address - Country:US
Mailing Address - Phone:856-783-0191
Mailing Address - Fax:856-783-0264
Practice Address - Street 1:1001 LAUREL OAK RD
Practice Address - Street 2:SUITE D1
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-3512
Practice Address - Country:US
Practice Address - Phone:856-783-0191
Practice Address - Fax:856-783-0264
Is Sole Proprietor?:No
Enumeration Date:2009-01-27
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA090255002086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery