Prezioso, Mark

Prezioso, Mark is an individual health care provider with primary practice located at 250 S 21St St , Easton PA 18042-3851. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Prezioso, Mark can be contacted via phone (610) 250-4000.

Contact Information

Primary practice address
250 S 21St St Easton PA 18042-3851
Phone: (610) 250-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X OA002530 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA054542 Pennsylvania

Profile Details

NPI number 1992008825
LBN Legal business name Prezioso, Mark
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2010
Last updated Dec 15th, 2010 - 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 1992008825 NPPES
Pennsylvania Other OA002530 OSTEOPATHIC LICENSE NUMBER
Pennsylvania Other MA054542 OSTEOPATHIC LICENSE NUMBER

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