Mann, Mark Jonathan
Mann, Mark Jonathan is an individual health care provider with primary practice located at 225 Millburn Ave Ste 304 , Millburn NJ 07041-1712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Mann, Mark Jonathan can be contacted via phone (973) 218-9400.Contact Information
Primary practice address
225 Millburn Ave Ste 304
Millburn NJ 07041-1712
Phone: (973) 218-9400
Fax: (973) 218-9420
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | MD451932 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 25MA09795800 | New Jersey |
Profile Details
| NPI number | 1225291123 |
|---|---|
| LBN Legal business name | Mann, Mark Jonathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2008 |
| Last updated | Aug 25th, 2022 - about 2 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 | 1225291123 | NPPES |
| New Jersey | MEDICAID | 0421481 | |
| New Jersey | MEDICAID | 102951397 0001 |
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