Provider Demographics
NPI:1326407560
Name:POPOSKI, MARJAN (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:MARJAN
Middle Name:
Last Name:POPOSKI
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:541 MACDONALD ST
Mailing Address - Street 2:
Mailing Address - City:GARFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07026-1013
Mailing Address - Country:US
Mailing Address - Phone:973-980-8425
Mailing Address - Fax:
Practice Address - Street 1:541 MACDONALD ST
Practice Address - Street 2:
Practice Address - City:GARFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07026-1013
Practice Address - Country:US
Practice Address - Phone:973-980-8425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-16
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01509200225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist