Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | 25MA09583200 | NJ |
N | 207ND0101X | MOHS-Micrographic Surgeon | 25MA09583200 | NJ |
Y | 207NS0135X | Procedural Dermatology | 25MA09583200 | NJ |
N | 207R00000X | Internist | 6342 | NE |
N | 111NI0900X | Internist | 6342 | NE |
NPI | 1376854836 |
---|---|
Provider Name | Dr. Marc Handler |
First Address | Newark, NJ 07103-1104 |
Second Address | Omaha, NE 68198-2055 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2010 |
Last Update Date | 04/10/2016 |