Basic Information
Provider Information
NPI: 1003152646
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MARFIL
FirstName: ALLAN
MiddleName: Z
NamePrefix:  
NameSuffix:  
Credential: PT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 400 HENLOPEN STA
Address2: UNIT 203D
City: REHOBOTH BEACH
State: DE
PostalCode: 199713185
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 110 W NORTH ST
Address2:  
City: GEORGETOWN
State: DE
PostalCode: 199472137
CountryCode: US
TelephoneNumber: 3028546575
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/01/2013
LastUpdateDate: 01/01/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X22880MDN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 
225100000XJ1-0002414DEY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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