Individual
MARK AYZENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2138 COUNTY LINE RD, HUNTINGDON VALLEY, PA 19006-1740
(215) 821-7059
Mailing address
352 S DELSEA DR STE C, VINELAND, NJ 08360-5306
(856) 690-1616
(856) 690-1089
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
25MA10601500
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2013
Last updated
04/18/2025
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