Provider Demographics
NPI:1467568634
Name:FIELD, MARSHALL ANDREW (OD)
Entity Type:Individual
Prefix:DR
First Name:MARSHALL
Middle Name:ANDREW
Last Name:FIELD
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1825 ROUTE 130 SOUTH
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902
Mailing Address - Country:US
Mailing Address - Phone:732-422-8200
Mailing Address - Fax:732-422-8204
Practice Address - Street 1:1825 ROUTE 130 SOUTH
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902
Practice Address - Country:US
Practice Address - Phone:732-422-8200
Practice Address - Fax:732-422-8204
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ5254152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJU43231Medicare ID - Type Unspecified