Sisskin, Mark I
Sisskin, Mark I is an individual health care provider with primary practice located at 3200 Sunset Ave Suite 100, Ocean NJ 07712-4556. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Sisskin, Mark I can be contacted via phone (732) 774-4114.Contact Information
Primary practice address
3200 Sunset Ave Suite 100
Ocean NJ 07712-4556
Phone: (732) 774-4114
Fax: (732) 774-6869
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MA04343400 | New Jersey |
Profile Details
| NPI number | 1922071505 |
|---|---|
| LBN Legal business name | Sisskin, Mark I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Oct 1st, 2008 - about 17 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 | 1922071505 | NPPES |
| New Jersey | Other | 0K7979 | HEALTHNET |
| New Jersey | Other | 223360408-019 | HEALTHNET |
| New Jersey | MEDICAID | 1785702 | HEALTHNET |
| New Jersey | Other | 110172478 | HEALTHNET |
| New Jersey | Other | P403608 | HEALTHNET |
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