Provider Demographics
NPI:1811703747
Name:MICHELLE P. MARFORI, O.D., LLC
Entity type:Organization
Organization Name:MICHELLE P. MARFORI, O.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:P
Authorized Official - Last Name:MARFORI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:848-667-1810
Mailing Address - Street 1:2439 ROUTE 34 STE K
Mailing Address - Street 2:
Mailing Address - City:MANASQUAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08736-1800
Mailing Address - Country:US
Mailing Address - Phone:732-920-1775
Mailing Address - Fax:
Practice Address - Street 1:2439 ROUTE 34 STE K
Practice Address - Street 2:
Practice Address - City:MANASQUAN
Practice Address - State:NJ
Practice Address - Zip Code:08736-1800
Practice Address - Country:US
Practice Address - Phone:732-920-1775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-05
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty