Individual
MARK DAVID LAZARUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3300 TILLMAN DR FL 2, BENSALEM, PA 19020-2071
(267) 339-3558
(267) 339-3763
Mailing address
833 CHESTNUT ST STE 520, PHILADELPHIA, PA 19107-4430
(800) 321-9999
(267) 339-3761
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
25MA06261200
NJ
207X00000X
Orthopaedic Surgery Physician
Primary
MD042412L
PA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
MD042412L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0232356000
IBC
NJ
01
—
0721206000
IBC
PA
01
—
0918421
CIGNA
—
01
—
2322621
AETNA
PA
01
—
2743313
AETNA
NJ
Enumeration date
06/02/2006
Last updated
06/27/2025
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