Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 61495 | NJ |
NPI | 1225091457 |
---|---|
Provider Name | Dr. Lloyd A Marks |
First Address | Westfield, NJ 07090-3733 |
Second Address | Westfield, NJ 07090-1490 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2006 |
Last Update Date | 04/12/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0430501 | (05) | NJ |