Kroll, Mark S

Kroll, Mark S is an sole proprietor health care provider with primary practice located at 501 Iron Bridge Rd Suite 15, Freehold NJ 07728-5304. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kroll, Mark S can be contacted via phone (732) 780-0100.

Contact Information

Primary practice address
501 Iron Bridge Rd Suite 15 Freehold NJ 07728-5304
Fax: (732) 780-8452
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA32880 New Jersey

Profile Details

NPI number 1174598619
LBN Legal business name Kroll, Mark S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2006
Last updated Mar 18th, 2008 - about 17 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 1174598619 NPPES
Other 222981046 BLUE CROSS/BLUE SHIELD
Other 33340 BLUE CROSS/BLUE SHIELD
MEDICAID 3408302 BLUE CROSS/BLUE SHIELD

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