Provider Demographics
NPI:1104082858
Name:RAMBALDI, MARC CHRISTOPHER (DPT)
Entity type:Individual
Prefix:DR
First Name:MARC
Middle Name:CHRISTOPHER
Last Name:RAMBALDI
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2024 MACOPIN RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:WEST MILFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07480-1900
Mailing Address - Country:US
Mailing Address - Phone:973-728-5588
Mailing Address - Fax:973-728-0928
Practice Address - Street 1:2024 MACOPIN RD
Practice Address - Street 2:SUITE E
Practice Address - City:WEST MILFORD
Practice Address - State:NJ
Practice Address - Zip Code:07480-1900
Practice Address - Country:US
Practice Address - Phone:973-728-5588
Practice Address - Fax:973-728-0928
Is Sole Proprietor?:No
Enumeration Date:2008-08-01
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01284100225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist