Anderson, Mark B

Anderson, Mark B is an individual health care provider with primary practice located at 5501 Old York Rd 3Rd Floor, Philadelphia PA 19141-3018. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Anderson, Mark B can be contacted via phone (215) 456-8270.

Contact Information

Primary practice address
5501 Old York Rd 3Rd Floor Philadelphia PA 19141-3018
Fax: (215) 456-3533
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MD445899 Pennsylvania

Profile Details

NPI number 1245309103
LBN Legal business name Anderson, Mark B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Jan 12th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245309103 NPPES
New Jersey Other 330005347 RR MCR PTAN
New Jersey MEDICAID 8328102 RR MCR PTAN

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