Individual provider · Type 1 NPI

Nick Maravich, MD

Diagnostic Radiology Physician · Mount Laurel, NJ

NPI number 1104828599 Active

Practice location

210 Ark Rd
Mount Laurel, NJ 08054-3188

Fax (609) 261-4180

Mailing address

1295 Route 38, P.o. Box 479
Hainesport, NJ 08036-2702

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X25MA06540900 (NJ)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1104828599

Nick Maravich, MD's National Provider Identifier is 1104828599, issued on Aug 15, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Mount Laurel, NJ. The record was last updated on Apr 6, 2012.