| NPI | 1235797044 |
|---|---|
| Doing Business As | MARLBORO CANCER SCREENING CENTER INC |
| Entity Type | Organization |
| Authorized Contact | DHARMAKUMAR WILSON GOMER Medical Director 909-799-5445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QG0250X Clinic/Center, Genetics |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-09-17 |