Individual
DR. MARK JACK DER MESROPIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
300 2ND AVE, LONG BRANCH, NJ 07740-6303
(732) 222-5200
Mailing address
300 OCEAN AVE N, APT 2B, LONG BRANCH, NJ 07740-7578
(315) 447-0857
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
051857
CT
207L00000X
Anesthesiology Physician
Primary
25MB10061600
NJ
Other
Enumeration date
09/01/2011
Last updated
01/23/2023
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