Doctor Name: | DR. ROBERT J MARX |
NPI Number: | 1073576351 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | A30254 |
Business Practice Address: | 14911 National Ave Suite # 7 Los Gatos, CA - 950322632 |
Business Phone Number: | 4083583511 |
Business Fax Number: | 4083580012 |
Mailing Address: | 14911 National Ave, Suite # 7 LOS GATOS |
State: | CA |
Postal Code: | 950322632 |
Phone Number: | 4083583511 |
Fax Number: | 4083580012 |
NPI Enumeration Date: | 04/08/2006 |
NPI Last Update Date: | 08/31/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A30254 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |