Individual
DR. MARK S. MALZBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 DOGWOOD DRIVE, ANNANDALE, NJ 08801
(908) 735-4477
(907) 735-6532
Mailing address
P.O. BOX 5388, CLINTON, NJ 08809
(908) 735-4477
(908) 735-6532
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
25MA04451500
NJ
2085N0904X
Nuclear Radiology Physician
25MA04451500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5595100
—
NJ
Enumeration date
02/17/2006
Last updated
09/19/2008
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