Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | NJ |
NPI | 1003089947 |
---|---|
Provider Name | Dr. Catherine Marley |
First Address | Cresskill, NJ 07626-1123 |
Second Address | Cresskill, NJ 07626-1123 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2008 |
Last Update Date | 11/04/2008 |