Provider Demographics
NPI:1457623498
Name:NARKUNAITE, VIRGINIJA (MT)
Entity Type:Individual
Prefix:
First Name:VIRGINIJA
Middle Name:
Last Name:NARKUNAITE
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1365
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-1012
Mailing Address - Country:US
Mailing Address - Phone:732-664-6977
Mailing Address - Fax:
Practice Address - Street 1:830 BROAD ST
Practice Address - Street 2:SUITE 1
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4215
Practice Address - Country:US
Practice Address - Phone:732-758-1800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-07
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor