Ayzenberg, Mark

Ayzenberg, Mark is an individual health care provider with primary practice located at 352 S Delsea Dr Ste C , Vineland NJ 08360-5306. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Ayzenberg, Mark can be contacted via phone (856) 690-1616.

Contact Information

Primary practice address
352 S Delsea Dr Ste C Vineland NJ 08360-5306
Phone: (856) 690-1616
Fax: (856) 690-1089
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 25MA10601500 New Jersey

Profile Details

NPI number 1144563818
LBN Legal business name Ayzenberg, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2013
Last updated Mar 5th, 2020 - about 4 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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