Healthcare Provider Details

I. General information

NPI: 1992927776
Provider Name (Legal Business Name): LYNN M MARCI PA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 05/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 POCONO RD
DENVILLE NJ
07834-2954
US

IV. Provider business mailing address

299 TREMONT AVE
NORTH PLAINFIELD NJ
07063-1669
US

V. Phone/Fax

Practice location:
  • Phone: 908-994-5422
  • Fax:
Mailing address:
  • Phone: 908-822-8643
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146D00000X
TaxonomyPersonal Emergency Response Attendant
License NumberMP000375
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: