Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 242519 | NY |
Y | 207V00000X | Obstetrician & Gynecologist | 25MB07969500 | NJ |
NPI | 1013006915 |
---|---|
Provider Name | Dr. Ena Alyese Marsan |
First Address | Paterson, NJ 07522-1775 |
Second Address | Paterson, NJ 07522-1775 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 20/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0103268 | (05) | NJ |
01130438 | AMERIGROUP (01) | NJ |
222290124A | HORIZON BLUE CROSS/BLUE SHIELD (01) | NJ |
25MB07969500BNE | HEALTH FIRST (01) | NJ |
2624630 | UNITED HEALTH CARE (01) | NJ |
41114 | UHP (01) | NJ |
60017939 | HORIXON NJ HEALTH (01) | NJ |
91001907701 | AMERICHOICE (01) | NJ |
9652165 | AETNA (01) | NJ |