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Contact Information

MARNELL P MOORE, DPM
310 CENTRAL AVE
SUITE 303
EAST ORANGE, NJ07018-2835
 Phone: 973-337-2893
 Fax: 201-228-1689
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MARNELL P MOORE · (Female)

NPI # 1821149451
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 01/12/2007
Last updated 06/05/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MD00289000
Hospital affiliation(s)
  • NEWARK BETH ISRAEL MEDICAL CENTER - (Acute Care)
    201 LYONS AVE
    NEWARK, NJ 07112
  • SAINT BARNABAS MEDICAL CENTER - (Acute Care)
    94 OLD SHORT HILLS ROAD
    LIVINGSTON, NJ 07039
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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