Provider Demographics
NPI:1780977629
Name:MARFATIA, CILLA (PT)
Entity type:Individual
Prefix:MRS
First Name:CILLA
Middle Name:
Last Name:MARFATIA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 EISENHOWER RD
Mailing Address - Street 2:
Mailing Address - City:CLOSTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07624-1405
Mailing Address - Country:US
Mailing Address - Phone:201-767-6473
Mailing Address - Fax:201-767-2393
Practice Address - Street 1:8 EISENHOWER RD
Practice Address - Street 2:
Practice Address - City:CLOSTER
Practice Address - State:NJ
Practice Address - Zip Code:07624-1405
Practice Address - Country:US
Practice Address - Phone:201-767-6473
Practice Address - Fax:201-767-2393
Is Sole Proprietor?:No
Enumeration Date:2011-05-25
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA0000935400225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist