Provider Demographics
NPI:1144717216
Name:PLAWNER, MARC BRIAN (PT)
Entity type:Individual
Prefix:MR
First Name:MARC
Middle Name:BRIAN
Last Name:PLAWNER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:680 ROUTE 33 E UNIT 14
Mailing Address - Street 2:
Mailing Address - City:EAST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08520-5806
Mailing Address - Country:US
Mailing Address - Phone:877-752-9637
Mailing Address - Fax:732-605-5963
Practice Address - Street 1:680 ROUTE 33 E UNIT 14
Practice Address - Street 2:
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08520-5806
Practice Address - Country:US
Practice Address - Phone:877-752-9637
Practice Address - Fax:732-605-5963
Is Sole Proprietor?:No
Enumeration Date:2018-04-15
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01335200225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist