Provider Demographics
NPI:1437473345
Name:MARRON FAMILY WELLNESS CENTER LLC
Entity Type:Organization
Organization Name:MARRON FAMILY WELLNESS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MARRON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:732-542-1272
Mailing Address - Street 1:615 HOPE RD
Mailing Address - Street 2:BUILDING 2A
Mailing Address - City:EATONTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-1273
Mailing Address - Country:US
Mailing Address - Phone:732-542-1272
Mailing Address - Fax:732-542-2315
Practice Address - Street 1:615 HOPE RD
Practice Address - Street 2:BUILDING 2A
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724-1273
Practice Address - Country:US
Practice Address - Phone:732-542-1272
Practice Address - Fax:732-542-2315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-22
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00267900111N00000X
NJ25MZ00069400171100000X
NJ25MZ00035200171100000X
NJ40QA00411800225100000X
NJ40QA01360400225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty