Individual
DR. MARK JAMES BARTISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24 NAUTILUS DR STE 5, MANAHAWKIN, NJ 08050-2490
(609) 978-9002
Mailing address
24 NAUTILUS DR STE 5, MANAHAWKIN, NJ 08050-2490
(609) 978-9002
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
MA55570
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0273902
—
NJ
Enumeration date
05/02/2007
Last updated
07/08/2007
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