Organization
MOBILE PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CARL BOYER JR. DPM (PRESIDENT)
(732) 364-6803
Entity
Organization
Contact information
Practice address
7 COLTS CT, JACKSON, NJ 08527-4492
(732) 364-6803
(732) 364-6803
Mailing address
7 COLTS CT, JACKSON, NJ 08527-4492
(732) 364-6803
(732) 364-6803
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD0264800NJ
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8492000
—
NJ
Enumeration date
04/24/2007
Last updated
10/03/2011
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