Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 0101038029 | VA |
N | 207RH0000X | Hematologist | 25483 | NC |
Y | 207RH0000X | Hematologist | 25MA08077400 | NJ |
N | 207RH0000X | Hematologist | MD428417 | PA |
NPI | 1073660635 |
---|---|
Provider Name | Marcus E Carr JR. |
First Address | Red Bank, NJ 07701 |
Second Address | North Brunswick, NJ 08902 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2007 |
Last Update Date | 13/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0154679 | (05) | NJ |