Provider Demographics
NPI:1467885434
Name:MARKS, JOHN M (D C)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:M
Last Name:MARKS
Suffix:
Gender:M
Credentials:D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 OCEAN AVE
Mailing Address - Street 2:#22
Mailing Address - City:BELMAR
Mailing Address - State:NJ
Mailing Address - Zip Code:07719-2258
Mailing Address - Country:US
Mailing Address - Phone:732-677-8905
Mailing Address - Fax:
Practice Address - Street 1:605 OCEAN AVE
Practice Address - Street 2:#22
Practice Address - City:BELMAR
Practice Address - State:NJ
Practice Address - Zip Code:07719-2258
Practice Address - Country:US
Practice Address - Phone:732-677-8905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-14
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00317000111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor