Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | MD1293 | NJ |
NPI | 1013916667 |
---|---|
Provider Name | Dr. Marc Anthony Notari |
First Address | Lyndhurst, NJ 07071-1253 |
Second Address | Lyndhurst, NJ 07071-1253 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2005 |
Last Update Date | 15/10/2012 |