Mark Delaurentis MD

NPI 1134127178 - Radiology - 2085R0202X

NPI Details
NPI 1134127178
Gender Male
Enumeration Date 07/13/2005
Last Updated 09/26/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
100 CARNIE BLVD
SUITE B-5
VOORHEES NJ, 08043-4512, US
Phone (856) 751-0123
Fax (856) 751-0535
Business Location
PO BOX 1710
SOUTH JERSEY RADIOLOGY ASSOCIATES PA
VOORHEES NJ, 08043-7710, US
Phone (856) 751-0123
Fax (856) 751-0535
Toxanomy
Taxonomy Code 2085R0202X
License State New Jersey
License Number 25MA04847600
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According to our database, Dr. Mark Delaurentis MD NPI is 1134127178, taxonomy code is 2085R0202X and license number is 25MA04847600, license state is located at New Jersey. Mark Delaurentis MD physically located at 100 Carnie Blvd, Voorhees NJ, 08043-4512. NPI Number Mark Delaurentis MD has the Individual type.

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1134127178 NPI number is provided on an as is basis without warranty of any kind. 1134127178 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Delaurentis MD are for informational purposes only.