Mascarenhas, Mark Adrian

Mascarenhas, Mark Adrian is an sole proprietor health care provider with primary practice located at 11 Meridian Rd , Eatontown NJ 07724-2242. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Mascarenhas, Mark Adrian can be contacted via phone (732) 663-0300.

Contact Information

Primary practice address
11 Meridian Rd Eatontown NJ 07724-2242
Phone: (732) 663-0300
Fax: (732) 663-0301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD423094 New Jersey
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 25MA09423400 New Jersey

Profile Details

NPI number 1841477817
LBN Legal business name Mascarenhas, Mark Adrian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2008
Last updated Jan 17th, 2017 - about 7 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 1841477817 NPPES
New Jersey MEDICAID 0404837

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