Provider Demographics
NPI:1326652801
Name:MAJ, JOHN R (LMT)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:R
Last Name:MAJ
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:554 HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:RAHWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07065-3508
Mailing Address - Country:US
Mailing Address - Phone:732-882-4208
Mailing Address - Fax:
Practice Address - Street 1:554 HARRISON ST
Practice Address - Street 2:
Practice Address - City:RAHWAY
Practice Address - State:NJ
Practice Address - Zip Code:07065-3508
Practice Address - Country:US
Practice Address - Phone:732-882-4208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-02
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0126029225700000X
NJ18KT00671100225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist