| Organization Name: | DR. STEVEN MARDER, LLC |
| NPI Number: | 1255501938 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEVEN MARDER (OWNER) |
| Mailing Address: | 1049 Broadway Suite 1 West Long Branch |
| State: | NJ US |
| Postal Code: | 077641334 |
| Phone Number: | 7328709700 |
| Fax Number: | 7325717873 |
| NPI Enumeration Date: | 03/10/2008 |
| NPI Last Update Date: | 05/19/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | 25MD00136800 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |