Basic Information
| Provider Information | |||||||||
| NPI: | 1144717216 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PLAWNER | ||||||||
| FirstName: | MARC | ||||||||
| MiddleName: | BRIAN | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5 DEVON CT | ||||||||
| Address2: | |||||||||
| City: | MONROE TWP | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 088315101 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9176566398 | ||||||||
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| Practice Location | |||||||||
| Address1: | 901 W MAIN ST | ||||||||
| Address2: | |||||||||
| City: | FREEHOLD | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 077282549 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7322942700 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/15/2018 | ||||||||
| LastUpdateDate: | 04/15/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 40QA01335200 | NJ | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.