Doctor Name: | MARLENE FISCHER BANDFIELD |
NPI Number: | 1336394600 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, P.T. |
License Number: | |
Business Practice Address: | 80 Prior Ct Oradell, NJ - 076492621 |
Business Phone Number: | 2019239036 |
Business Fax Number: | |
Mailing Address: | 80 Prior Ct, ORADELL |
State: | NJ |
Postal Code: | 076492621 |
Phone Number: | 2019239036 |
Fax Number: | |
NPI Enumeration Date: | 11/29/2008 |
NPI Last Update Date: | 11/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |