Provider Demographics
NPI:1306800859
Name:LAUER, MARSHALL FRANCIS (MD)
Entity type:Individual
Prefix:DR
First Name:MARSHALL
Middle Name:FRANCIS
Last Name:LAUER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1415 MARLTON PIKE E STE LL5
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-2229
Mailing Address - Country:US
Mailing Address - Phone:856-285-7200
Mailing Address - Fax:856-285-7201
Practice Address - Street 1:414 HADDON AVE
Practice Address - Street 2:
Practice Address - City:COLLINGSWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08108-1330
Practice Address - Country:US
Practice Address - Phone:856-854-7800
Practice Address - Fax:856-854-1687
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03922400207RA0401X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3121287POtherCIGNA
NJ381020OtherMEDICARE GROUP
NJ2449501Medicaid
NJ0099935001OtherAMERIHEALTH
NJ381020OtherMEDICARE GROUP
NJC54261Medicare UPIN