Individual
DR. MARK DAVID PASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 CRAIG RD, SUITE 205A, MANALAPAN, NJ 07726-8787
(732) 866-9922
(732) 866-9970
Mailing address
PO BOX 116, MARLBORO, NJ 07746-0116
(732) 866-9922
(732) 866-9970
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
25MA07471500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0036447
—
NJ
Enumeration date
07/07/2005
Last updated
11/27/2017
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