Provider Demographics
NPI:1750020665
Name:THAKOR, MARMIK PAKESH
Entity Type:Individual
Prefix:
First Name:MARMIK
Middle Name:PAKESH
Last Name:THAKOR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:575 EASTON AVE APT 2M
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-1938
Mailing Address - Country:US
Mailing Address - Phone:224-806-7241
Mailing Address - Fax:
Practice Address - Street 1:575 EASTON AVE APT 2M
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-1938
Practice Address - Country:US
Practice Address - Phone:224-806-7241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-31
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist