Provider Demographics
NPI:1679856074
Name:MARKH, ROMAN (PA-C)
Entity Type:Individual
Prefix:
First Name:ROMAN
Middle Name:
Last Name:MARKH
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Gender:M
Credentials:PA-C
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Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:695 US HIGHWAY 46
Mailing Address - Street 2:STE 400A
Mailing Address - City:FAIRFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07004-1568
Mailing Address - Country:US
Mailing Address - Phone:973-826-8291
Mailing Address - Fax:888-972-6480
Practice Address - Street 1:131 MADISON AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-7360
Practice Address - Country:US
Practice Address - Phone:973-540-9700
Practice Address - Fax:973-540-9717
Is Sole Proprietor?:No
Enumeration Date:2011-09-21
Last Update Date:2018-11-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MP00393800363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical