Roberts, Marc Preston

Roberts, Marc Preston is an individual health care provider with primary practice located at 559 Broad St , Newark NJ 07102-4503. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Roberts, Marc Preston can be contacted via phone (973) 622-3890.

Contact Information

Primary practice address
559 Broad St Newark NJ 07102-4503
Phone: (973) 622-3890
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25MA03289200 New Jersey

Profile Details

NPI number 1811008402
LBN Legal business name Roberts, Marc Preston
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 17 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 1811008402 NPPES
New Jersey MEDICAID 3851800

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