Doctor Name: | MR. DAVE CONSUNJI MARCON |
NPI Number: | 1932301843 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 40QA01074500 |
Business Practice Address: | 301 Cherry Ln Teaneck, NJ - 076663413 |
Business Phone Number: | 2016740737 |
Business Fax Number: | 2013572318 |
Mailing Address: | 301 Cherry Ln, TEANECK |
State: | NJ |
Postal Code: | 076663413 |
Phone Number: | 2016479083 |
Fax Number: | 2013572318 |
NPI Enumeration Date: | 06/03/2007 |
NPI Last Update Date: | 04/21/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA01074500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |