Pello, Mark J

Pello, Mark J is an individual health care provider with primary practice located at 3 Cooper Plz Rm 411 Cooper Surgical Associates, Camden NJ 08103-1438. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Pello, Mark J can be contacted via phone (856) 342-3412.

Contact Information

Primary practice address
3 Cooper Plz Rm 411 Cooper Surgical Associates Camden NJ 08103-1438
Phone: (856) 342-3412
Fax: (856) 365-1180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X MA32132 New Jersey

Profile Details

NPI number 1073602546
LBN Legal business name Pello, Mark J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jun 18th, 2014 - about 10 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 1073602546 NPPES
New Jersey Other 1010875 HORIZON NJ HEALTH
New Jersey Other CA0000068 HORIZON NJ HEALTH
New Jersey Other 16735 HORIZON NJ HEALTH
New Jersey Other 6710804 HORIZON NJ HEALTH
New Jersey Other P531590 HORIZON NJ HEALTH
New Jersey Other 3K6211 HORIZON NJ HEALTH
New Jersey Other 400785 HORIZON NJ HEALTH
New Jersey MEDICAID 1328701 HORIZON NJ HEALTH
New Jersey Other 0097397000 HORIZON NJ HEALTH
New Jersey Other 1242926 HORIZON NJ HEALTH
New Jersey Other 22502 HORIZON NJ HEALTH

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