Waciega, Mark

Waciega, Mark is an individual health care provider with primary practice located at 901 W Main St Centrastate Medical Center, Freehold NJ 07728-2537. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Waciega, Mark can be contacted via phone (732) 294-2666.

Contact Information

Primary practice address
901 W Main St Centrastate Medical Center Freehold NJ 07728-2537
Phone: (732) 294-2666
Fax: (732) 431-8267
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25MA04817600 New Jersey

Profile Details

NPI number 1346295482
LBN Legal business name Waciega, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346295482 NPPES
New Jersey MEDICAID 5477701

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