Provider Demographics
NPI:1265868798
Name:MARBE, DORON DAVID (PHD)
Entity type:Individual
Prefix:DR
First Name:DORON
Middle Name:DAVID
Last Name:MARBE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 CANTERBURY LN
Mailing Address - Street 2:
Mailing Address - City:NEW MILFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07646-3260
Mailing Address - Country:US
Mailing Address - Phone:917-913-1942
Mailing Address - Fax:
Practice Address - Street 1:41 CANTERBURY LN
Practice Address - Street 2:
Practice Address - City:NEW MILFORD
Practice Address - State:NJ
Practice Address - Zip Code:07646-3260
Practice Address - Country:US
Practice Address - Phone:917-913-1942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-16
Last Update Date:2013-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP90070390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program