Individual
MR. MARK RICHARD KITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2200 WALLACE BLVD, SUITE E, CINNAMINSON, NJ 08077-2578
(856) 829-0015
(856) 829-0043
Mailing address
2200 WALLACE BLVD, SUITE E, CINNAMINSON, NJ 08077-2578
(856) 829-0015
(856) 829-0043
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
40QA01335400
NJ
Other
Enumeration date
11/02/2009
Last updated
11/02/2009
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