Mary Ann Liza Supan
Physical Therapist in Matawan, New Jersey
1699988220- Practice location
- 625 State Route 34, Matawan, NJ 07747-3050
- Phone
- 732-888-2400
- Fax
- —
- Last updated
- July 8, 2007
Mary Ann Liza Supan is a Physical Therapist based in Matawan, NJ. Mary Ann Liza Supan practices in Matawan, NJ. The NPI Number for Mary Ann Liza Supan is 1699988220 and holds a License No. 40QA01125400 (NJ). The current practice location address for Mary Ann Liza Supan is 625 State Route 34, Matawan, NJ 07747-3050 and can be reached out via phone at 732-888-2400.
Provider Profile Details
- NPI Number
- 1699988220
- Provider Name
- Mary Ann Liza Supan
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 625 State Route 34, Matawan, NJ 07747-3050
- Phone Number
- 732-888-2400
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 8, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 625 State Route 34
Matawan, NJ 07747-3050 - City
- Matawan
- State
- New Jersey
- Zip
- 07747-3050
- Phone Number
- 732-888-2400
Provider Business Mailing Address Details
- Address
- 37 Randolph Ave
Old Bridge, NJ 08857-1147 - City
- Old Bridge
- State
- NJ
- Zip
- 08857-1147
License Information
- License Number
- 40QA01125400
- License State
- NJ
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mary Ann Liza Supan?
The NPI number of Mary Ann Liza Supan is 1699988220. It was assigned on May 8, 2007 and is currently active in the NPPES registry.
What is the specialty of Mary Ann Liza Supan?
Mary Ann Liza Supan is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01125400.
Where does Mary Ann Liza Supan practice?
The practice location is 625 State Route 34, Matawan, NJ 07747-3050. The office can be reached at 732-888-2400 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699988220 directly on the NPPES registry website.