Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 25MA05208400 | NJ |
NPI | 1184765869 |
---|---|
Provider Name | Dr. Richard E Marki |
First Address | Bayonne, NJ 07002-4036 |
Second Address | Bayonne, NJ 07002-3989 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2007 |
Last Update Date | 08/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0886700 | (05) | NJ |
C54264 | (02) | NJ |