Indzonka, Mark Francis

Indzonka, Mark Francis is an individual health care provider with primary practice located at 505 Independence Rd Suite B, East Stroudsburg PA 18301-7916. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Indzonka, Mark Francis can be contacted via phone (570) 421-3800.

Contact Information

Primary practice address
505 Independence Rd Suite B East Stroudsburg PA 18301-7916
Fax: (570) 421-8014
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD043750E Pennsylvania

Profile Details

NPI number 1912911405
LBN Legal business name Indzonka, Mark Francis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Feb 1st, 2011 - about 13 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 1912911405 NPPES
Pennsylvania MEDICAID 0014131860005

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