Provider Demographics
NPI:1871863456
Name:VOICECHOVSKI, MARC ANTHONY (ATC)
Entity Type:Individual
Prefix:
First Name:MARC
Middle Name:ANTHONY
Last Name:VOICECHOVSKI
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 VREELAND AVE
Mailing Address - Street 2:APT #2
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07011-2523
Mailing Address - Country:US
Mailing Address - Phone:973-997-6410
Mailing Address - Fax:
Practice Address - Street 1:230 MENDHAM RD
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-5089
Practice Address - Country:US
Practice Address - Phone:973-538-3231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-12
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MT001684002255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer