Provider Demographics
NPI:1821359233
Name:MARSH, ROBERT (APN)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:MARSH
Suffix:
Gender:M
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 ALEXANDRIA WAY
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-2764
Mailing Address - Country:US
Mailing Address - Phone:973-699-1006
Mailing Address - Fax:866-806-0065
Practice Address - Street 1:114 ALEXANDRIA WAY
Practice Address - Street 2:
Practice Address - City:BASKING RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07920-2764
Practice Address - Country:US
Practice Address - Phone:973-699-1006
Practice Address - Fax:866-806-0065
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-01
Last Update Date:2012-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00373600363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ26NJ00373600OtherAPN