Basic Information
| Provider Information | |||||||||
| NPI: | 1356423008 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MARMAR | ||||||||
| FirstName: | JOEL | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3 COOPER PLZ | ||||||||
| Address2: | SUITE 502 | ||||||||
| City: | CAMDEN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 081031438 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8569687433 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 3 COOPER PLZ | ||||||||
| Address2: | SUITE 411 | ||||||||
| City: | CAMDEN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 081031438 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8569633577 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/20/2006 | ||||||||
| LastUpdateDate: | 05/05/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208800000X | MA24609 | NJ | Y | Allopathic & Osteopathic Physicians | Urology |
ID Information
| ID | Type | State | Issuer | Description | 010001636 | 01 | NJ | AMERICHOICE | OTHER | 1043878 | 01 | NJ | HORIZON NJ HEALTH | OTHER | 1245412 | 01 | NJ | CIGNA | OTHER | 015254500004 | 05 | PA | MEDICAID | 3430103 | 05 | NJ | MEDICAID | P1241748 | 01 | NJ | OXFORD | OTHER | 0072606000 | 01 | NJ | AMERIHEALTH/KEYSTONE/IBC | OTHER | 30419 | 01 | NJ | AMERIHEALTH PPO/PA BS | OTHER | 30419 | 01 | NJ | PA BS HIGHMARK | OTHER | 340016344 | 01 | NJ | RR MEDICARE | OTHER | 14285 | 01 | NJ | UNIVERSITY HEALTH PLAN | OTHER | 769065 | 01 | NJ | UNITED HEALTHCARE | OTHER | 2159935 | 01 | NJ | AETNA | OTHER | 3K6095 | 01 | NJ | HEALTHNET | OTHER |