Provider Demographics
NPI:1225219918
Name:MARCHESANI, DANTE (DPT)
Entity type:Individual
Prefix:
First Name:DANTE
Middle Name:
Last Name:MARCHESANI
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 1:219 RICHMOND AVE
Mailing Address - Street 2:
Mailing Address - City:NEW MILFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07646-2517
Mailing Address - Country:US
Mailing Address - Phone:201-907-3150
Mailing Address - Fax:201-907-3165
Practice Address - Street 1:219 RICHMOND AVE
Practice Address - Street 2:
Practice Address - City:NEW MILFORD
Practice Address - State:NJ
Practice Address - Zip Code:07646-2517
Practice Address - Country:US
Practice Address - Phone:201-907-3150
Practice Address - Fax:201-907-3165
Is Sole Proprietor?:No
Enumeration Date:2007-11-21
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01264600225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist