Individual
MR. MARK LAWRENCE INOCENCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, APN, FNP-C
Contact information
Practice address
533 LEXINGTON AVE, CLIFTON, NJ 07011
(973) 546-6844
(973) 546-7707
Mailing address
81 AUDUBON AVE, JERSEY CITY, NJ 07305-1501
(201) 805-7600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00398800
NJ
363LF0000X
Family Nurse Practitioner
F337685-1
NY
Other
Enumeration date
06/17/2013
Last updated
08/08/2018
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