Malzberg, Mark S.

Malzberg, Mark S. is an individual health care provider with primary practice located at 1 Dogwood Drive , Annandale NJ 08801. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Nuclear Radiology. Allopathic & Osteopathic Physicians / Body Imaging is his primary health care specialty. Malzberg, Mark S. can be contacted via phone (908) 735-4477.

Contact Information

Primary practice address
1 Dogwood Drive Annandale NJ 08801
Fax: (907) 735-6532
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 25MA04451500 New Jersey
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 25MA04451500 New Jersey

Profile Details

NPI number 1144295817
LBN Legal business name Malzberg, Mark S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Sep 19th, 2008 - about 16 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 1144295817 NPPES
New Jersey MEDICAID 5595100

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