Provider Demographics
NPI:1548566854
Name:GADABORSHEV, MARINA (DC)
Entity Type:Individual
Prefix:DR
First Name:MARINA
Middle Name:
Last Name:GADABORSHEV
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 CAMBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SHORT HILLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07078-1926
Mailing Address - Country:US
Mailing Address - Phone:973-519-6302
Mailing Address - Fax:
Practice Address - Street 1:40 CAMBRIDGE DR
Practice Address - Street 2:
Practice Address - City:SHORT HILLS
Practice Address - State:NJ
Practice Address - Zip Code:07078-1926
Practice Address - Country:US
Practice Address - Phone:973-519-6302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-03
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00690300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor