Individual
MARK THOMAS DIMARCANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-2000
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
25MB04275400
NJ
2085N0904X
Nuclear Radiology Physician
25MB04275400
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
25MB04275400
NJ
2085R0202X
Diagnostic Radiology Physician
C20007195
DE
2085R0202X
Diagnostic Radiology Physician
OS005133L
PA
2085U0001X
Diagnostic Ultrasound Physician
25MB04275400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285301
—
NJ
Enumeration date
07/29/2005
Last updated
03/23/2020
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