Individual
DR. MARK JONATHAN MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 MILLBURN AVE STE 304, MILLBURN, NJ 07041-1712
(973) 218-9400
(973) 218-9420
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
25MA09795800
NJ
208800000X
Urology Physician
MD451932
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0421481
—
NJ
05
—
102951397 0001
—
PA
Enumeration date
07/10/2008
Last updated
08/25/2022
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