Individual
DR. MARK DELAURENTIS
Active
Individual
DR. MARK DELAURENTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA04847600
NJ
2085R0204X
Vascular & Interventional Radiology Physician
25MA04847600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0109898000
AMERIHEALTH HMO
—
01
—
10434061
CAQH
—
01
—
1168017
HORIZON NJ HEALTH
—
01
—
300133897
RAILROAD MEDICARE
—
01
—
3097883
AETNA
—
01
—
509023
AMERIHEALTH PPO
—
05
—
7940602
—
NJ
01
—
A3738029
OXFORD HEALTH
—
Enumeration date
07/13/2005
Last updated
12/14/2023
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