Individual
MARK THOMAS INSETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
344 SUMMIT AVE, HACKENSACK, NJ 07601-1430
(201) 523-1322
Mailing address
344 SUMMIT AVE, HACKENSACK, NJ 07601-1430
(201) 523-1322
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06454400
NJ
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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