Pass, Mark David

Pass, Mark David is an sole proprietor health care provider with primary practice located at 100 Craig Rd Suite 205A, Manalapan NJ 07726-8787. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Pass, Mark David can be contacted via phone (732) 866-9922.

Contact Information

Primary practice address
100 Craig Rd Suite 205A Manalapan NJ 07726-8787
Fax: (732) 866-9970
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 25MA07471500 New Jersey

Profile Details

NPI number 1437156288
LBN Legal business name Pass, Mark David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Nov 27th, 2017 - about 8 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 1437156288 NPPES
New Jersey MEDICAID 0036447

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