Individual
MARK S KROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 IRON BRIDGE RD, SUITE 15, FREEHOLD, NJ 07728-5304
(732) 780-0100
(732) 780-8452
Mailing address
501 IRON BRIDGE RD, SUITE 15, FREEHOLD, NJ 07728-5304
(732) 780-0100
(732) 780-8452
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA32880
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222981046
BLUE CROSS/BLUE SHIELD
—
01
—
33340
AETNA
—
05
—
3408302
—
NJ
Enumeration date
02/20/2006
Last updated
03/18/2008
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