Provider Demographics
NPI:1528094927
Name:CZAPLICKI-MARGIOTTI, MARIE ANN (MD)
Entity type:Individual
Prefix:DR
First Name:MARIE
Middle Name:ANN
Last Name:CZAPLICKI-MARGIOTTI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 SPARTA AVE
Mailing Address - Street 2:C-7
Mailing Address - City:SPARTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07871-1120
Mailing Address - Country:US
Mailing Address - Phone:973-729-1113
Mailing Address - Fax:570-409-1106
Practice Address - Street 1:350 SPARTA AVE
Practice Address - Street 2:C-7
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871-1120
Practice Address - Country:US
Practice Address - Phone:973-940-8100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-25
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD418845207X00000X
NJ25MA03065800207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001888189Medicaid
NJ057090ZDQTMedicare PIN
PA001888189Medicaid
PA057090Medicare ID - Type UnspecifiedMEDICARE
NJ456050ZDCFMedicare PIN