Michael, Mark

Michael, Mark is an sole proprietor health care provider with primary practice located at 201 Lyons Ave Suite L5, Newark NJ 07112-2027. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Michael, Mark can be contacted via phone (973) 926-3500.

Contact Information

Primary practice address
201 Lyons Ave Suite L5 Newark NJ 07112-2027
Phone: (973) 926-3500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MB08737300 New Jersey
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 25MB09737300 New Jersey

Profile Details

NPI number 1528296142
LBN Legal business name Michael, Mark
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2009
Last updated May 2nd, 2024 - about 6 months 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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