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Individual

DR. MARK EPHRAIM SOLOMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
218 RIDGEDALE AVE STE 101, CEDAR KNOLLS, NJ 07927-2109
(973) 538-7700
(973) 538-9478
Mailing address
218 RIDGEDALE AVE STE 101, CEDAR KNOLLS, NJ 07927-2109
(973) 538-7700
(973) 538-9478

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00268100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25MD00268100
STATE LICENSE
NJ
01
D08132700
CDS
NJ
Enumeration date
07/03/2006
Last updated
03/07/2023
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