Healthcare Provider Details

I. General information

NPI: 1508449679
Provider Name (Legal Business Name): MAR MAX MEDICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2021
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 SPEEDWELL AVE STE A
MORRISTOWN NJ
07960-6681
US

IV. Provider business mailing address

70 SPEEDWELL AVE STE A
MORRISTOWN NJ
07960-6681
US

V. Phone/Fax

Practice location:
  • Phone: 973-294-7250
  • Fax:
Mailing address:
  • Phone: 973-294-7250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: MEGHAN CALICHMAN
Title or Position: ADMIN
Credential:
Phone: 201-874-4440