Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 40QA00410400 | NJ |
NPI | 1013138213 |
---|---|
Provider Name | Ruth Lyons-Marcus |
First Address | Columbus, NJ 08022-1979 |
Second Address | Columbus, NJ 08022-1979 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 08/07/2007 |