Wallen, Marven H
Wallen, Marven H is an individual health care provider with primary practice located at 1985 Springfield Ave , Maplewood NJ 07040-3435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wallen, Marven H can be contacted via phone (973) 763-5010.Contact Information
Primary practice address
1985 Springfield Ave
Maplewood NJ 07040-3435
Phone: (973) 763-5010
Fax: (973) 761-6980
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA01881900 | New Jersey |
Profile Details
| NPI number | 1730231234 |
|---|---|
| LBN Legal business name | Wallen, Marven H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730231234 | NPPES |
| New Jersey | MEDICAID | 1588401 |
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