Provider Demographics
NPI:1437504545
Name:MARBER GROUP INC
Entity Type:Organization
Organization Name:MARBER GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BERNSTONE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:818-730-9435
Mailing Address - Street 1:12725 OXNARD ST
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-4420
Mailing Address - Country:US
Mailing Address - Phone:818-730-9435
Mailing Address - Fax:
Practice Address - Street 1:12725 OXNARD ST
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-4420
Practice Address - Country:US
Practice Address - Phone:818-730-9435
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-26
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE1690213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty