Provider Demographics
NPI:1134108574
Name:MARFUGGI, RICHARD ANTHONY (MD, DMH)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:ANTHONY
Last Name:MARFUGGI
Suffix:
Gender:M
Credentials:MD, DMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:248 COLUMBIA TPKE
Mailing Address - Street 2:BUILDING 1, SUITE 203
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-1210
Mailing Address - Country:US
Mailing Address - Phone:973-377-8950
Mailing Address - Fax:973-377-8914
Practice Address - Street 1:10 BROADWAY
Practice Address - Street 2:
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834-2704
Practice Address - Country:US
Practice Address - Phone:973-377-8950
Practice Address - Fax:973-377-8914
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04227000208200000X
NY145984-1208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ151809Medicare ID - Type Unspecified
NJF404888Medicare UPIN