Mizrachy, Marc Leonard

Mizrachy, Marc Leonard is an sole proprietor health care provider with primary practice located at 719 Route 206 Suite 107, Hillsborough NJ 08844. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Mizrachy, Marc Leonard can be contacted via phone (908) 431-5901.

Contact Information

Primary practice address
719 Route 206 Suite 107 Hillsborough NJ 08844
Phone: (908) 431-5901
Fax: (908) 431-5906
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X MD02538 New Jersey
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X MD02538 New Jersey
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 25MDO0253800 New Jersey

Profile Details

NPI number 1275519738
LBN Legal business name Mizrachy, Marc Leonard
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2005
Last updated Dec 17th, 2009 - about 15 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 1275519738 NPPES
New Jersey MEDICAID 7369601

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