Individual
DR. MARC LEONARD MIZRACHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
719 ROUTE 206, SUITE 107, HILLSBOROUGH, NJ 08844
(908) 431-5901
(908) 431-5906
Mailing address
719 ROUTE 206, SUITE 107, HILLSBOROUGH, NJ 08844
(908) 431-5901
(908) 431-5906
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MDO0253800
NJ
213EP1101X
Primary Podiatric Medicine Podiatrist
MD02538
NJ
213ES0131X
Foot Surgery Podiatrist
MD02538
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7369601
—
NJ
Enumeration date
12/16/2005
Last updated
12/17/2009
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