DR. MARC PRESTON ROBERTS MD NPI 1811008402

NPI Information

DR. Marc Preston Roberts, MD is a specialist in Newark, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Marc Preston Roberts, MD NPI is 1811008402. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

559 BROAD ST
NEWARK, NJ
ZIP 07102-503
Phone: (973) 622-3890

The CLIA number assigned to this NPI record is 31D0107988 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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