Provider Demographics
NPI:1841272309
Name:MARKS, DONALD HARVEY (MD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:HARVEY
Last Name:MARKS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8215 POLK DR
Mailing Address - Street 2:
Mailing Address - City:WHARTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07885-4202
Mailing Address - Country:US
Mailing Address - Phone:973-307-0364
Mailing Address - Fax:888-724-0953
Practice Address - Street 1:8215 POLK DR
Practice Address - Street 2:
Practice Address - City:WHARTON
Practice Address - State:NJ
Practice Address - Zip Code:07885-4202
Practice Address - Country:US
Practice Address - Phone:973-307-0364
Practice Address - Fax:888-724-0953
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-18
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY180133207R00000X
NJ25MA05357400207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALA50384Medicare UPIN