Twardzik, Mark J

Twardzik, Mark J is an individual health care provider with primary practice located at 4503 Atlantic Ave , Atlantic City NJ 08401-5733. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Twardzik, Mark J can be contacted via phone (609) 344-3900.

Contact Information

Primary practice address
4503 Atlantic Ave Atlantic City NJ 08401-5733
Phone: (609) 344-3900
Fax: (609) 344-8512
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X MDO1233 New Jersey

Profile Details

NPI number 1801965090
LBN Legal business name Twardzik, Mark J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Jun 25th, 2013 - about 12 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 1801965090 NPPES
New Jersey Other 583293TV MEDICARE PTAN
New Jersey MEDICAID 2285606 MEDICARE PTAN

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