Lister, Mark Anthony
Lister, Mark Anthony is an individual health care provider with primary practice located at 1 Clara Maass Dr , Belleville NJ 07109-3550. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Lister, Mark Anthony can be contacted via phone (973) 844-1340.Contact Information
Primary practice address
1 Clara Maass Dr
Belleville NJ 07109-3550
Phone: (973) 844-1340
Fax: (973) 450-5964
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 25MA04176200 | New Jersey |
Profile Details
| NPI number | 1043258353 |
|---|---|
| LBN Legal business name | Lister, Mark Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Sep 9th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043258353 | NPPES |
| New Jersey | MEDICAID | 1515608 |
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