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
Phone: (215) 456-8270
Fax: (215) 456-3533
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245309103 | NPPES |
New Jersey | Other | 330005347 | RR MCR PTAN |
New Jersey | MEDICAID | 8328102 | RR MCR PTAN |
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