Organization
MARK MADIS,M.D. , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK STEVEN MADIS M.D. (OWNER)
(973) 864-5033
Entity
Organization
Contact information
Practice address
212 ROUTE 94, SUITE 1A, VERNON, NJ 07462-3328
(973) 864-5033
Mailing address
PO BOX 1010, VERNON, NJ 07462-1010
(973) 864-5033
(973) 209-1895
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
25MA04014100
NJ
Other
Enumeration date
05/17/2007
Last updated
08/22/2020
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