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
Phone: (732) 866-9922
Fax: (732) 866-9970
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1437156288 | NPPES |
New Jersey | MEDICAID | 0036447 |
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