Provider Demographics
NPI:1184765869
Name:MARKI, RICHARD E (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:E
Last Name:MARKI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:988 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-4036
Mailing Address - Country:US
Mailing Address - Phone:201-339-6111
Mailing Address - Fax:201-339-6333
Practice Address - Street 1:988 BROADWAY
Practice Address - Street 2:2ND FL
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-3989
Practice Address - Country:US
Practice Address - Phone:201-339-6111
Practice Address - Fax:201-339-6333
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA05208400207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0886700Medicaid
NJ0886700Medicaid
NJ535922Medicare PIN