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Individual
MARK FILLARI
Active
Individual
MARK FILLARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
25MD00344900
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00344900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
04/20/2016
Last updated
05/11/2021
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