Fisicaro, Marc D

Fisicaro, Marc D is an individual health care provider with primary practice located at 1 Cooper Plz , Camden NJ 08103-1461. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Fisicaro, Marc D can be contacted via phone (800) 826-6737.

Contact Information

Primary practice address
1 Cooper Plz Camden NJ 08103-1461
Phone: (800) 826-6737
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MT186697 Pennsylvania
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD437252 Pennsylvania
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25MA08571900 New Jersey

Profile Details

NPI number 1881801850
LBN Legal business name Fisicaro, Marc D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated May 30th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881801850 NPPES
New Jersey MEDICAID 0239372
New Jersey MEDICAID 102496613

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