Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 25MA06568300 | NJ |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 25MA06568300 | NJ |
N | 2086S0105X | Surgery of the Hand | 25MA06568300 | NJ |
NPI | 1346356904 |
---|---|
Provider Name | Stanley C Marczyk |
First Address | Somers Point, NJ 08244-1776 |
Second Address | Somers Point, NJ 08244-1776 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2006 |
Last Update Date | 02/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G53318 | (02) |