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MARIAN MEDICAL CLINIC PC
NPI 1730341801
Specialist in Millburn, NJ

Active since June 30, 2008
116 MILLBURN AVENUE, SUITE 207, MILLBURN, NJ 07041(973) 921-9321(973) 921-9323 Get Directions Write a Review

NPPES record last updated: June 30, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marian Medical Clinic Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIAN MEDICAL CLINIC PC (NPI 1730341801) is a healthcare organization registered as a specialist in Millburn, New Jersey and active in the NPI registry since June 2008. The organization lists Mariavida Tupaz Tecson, Owner Physician, as its authorized official.

NPPES Registry Identity

NPI1730341801
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMARIAN MEDICAL CLINIC PC
Location Address116 MILLBURN AVENUE, SUITE 207Millburn, NJ 07041-1919
Mailing Address116 Millburn Avenue, Suite 207Millburn, NJ 07041-1919 · (973) 921-9321 · Fax (973) 921-9323
Phone(973) 921-9321
Fax(973) 921-9323
Organization SubpartNo
Authorized OfficialMariavida Tupaz TecsonOwner Physician · (973) 921-9321
Enumeration DateJune 30, 2008
✔ NPI 1730341801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NJ · 25MA0747600
Definition

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.

116 MILLBURN AVENUE, Millburn, NJ 07041
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Other Identifiers 7

Other7135641 3631135NJ · Aetna
Medicaid0047031NJ
Medicare UPINI07681
Other2540897NJ · United Healthcare
OtherP3469886NJ · Oxford
Other2K7666NJ · Healthnet
Medicare PIN079963

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DORIS MARIE BRECKENRIDGE MD
Psychiatry & Neurology (Psychiatry)
116 MILLBURN AVENUE, SUITE 200
MILLBURN, NJ 07041
Essex County (973) 912-9200
QAISRA SAEED, L.L.C.
Internal Medicine (Cardiovascular Disease)
116 MILLBURN AVENUE, SUITE 214
MILLBURN, NJ 07041
Essex County (973) 218-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marian Medical Clinic PC's NPI number?

The NPI number for Marian Medical Clinic PC is 1730341801. It was assigned to this organization in the NPPES registry on June 30, 2008.

Where is Marian Medical Clinic PC located?

Marian Medical Clinic PC is located at 116 Millburn Avenue Suite 207, Millburn, NJ 07041. The listed phone number is (973) 921-9321.

What is Marian Medical Clinic PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Marian Medical Clinic PC was last updated on June 30, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.