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
Phone: (908) 735-4477
Fax: (907) 735-6532
Website:
Health care specialties
| Specialty | Code | License # | 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 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 | 1144295817 | NPPES |
| New Jersey | MEDICAID | 5595100 |
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