| NPI Details | |
|---|---|
| NPI | 1003956491 |
| Enumeration Date | 02/07/2007 |
| Last Updated | 07/08/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | MARK MARK |
| Position | PRESIDENT |
| Phone | (201) 836-5655 |
| Fax | (201) 836-3571 |
| Practice Location | |
|---|---|
| 870 PALISADE AVE TEANECK NJ, 07666-3419, US |
|
| Phone | (201) 836-5655 |
| Fax | (201) 836-3571 |
| Business Location | |
|---|---|
| 870 PALISADE AVE TEANECK NJ, 07666-3419, US |
|
| Phone | (201) 836-5655 |
| Fax | (201) 836-3571 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 207RE0101X |
| License State | New Jersey |
| License Number | MA39378 |
| Remove 1003956491 NPI Number | |
According to our database, Diabetes, Endocrinology, Metabolism, Specialities, P.a. NPI is 1003956491, taxonomy code is 207RE0101X and license number is MA39378, license state is located at New Jersey. Diabetes, Endocrinology, Metabolism, Specialities, P.a. physically located at 870 Palisade Ave, Teaneck NJ, 07666-3419. NPI Number 1033115704 has the healthcare provider type.
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1003956491 NPI number is provided on an as is basis without warranty of any kind. 1003956491 is maintained by the National Plan & Provider Enumeration System. The contents of Diabetes, Endocrinology, Metabolism, Specialities, P.a. are for informational purposes only.
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