Individual
MARK ENDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1228 ROUTE 37 W, SUITE 6, TOMS RIVER, NJ 08755-4811
(732) 244-2700
(732) 244-7666
Mailing address
138 ROUTE 9, SUITE 6, FORKED RIVER, NJ 08731-3625
(609) 756-0000
(609) 488-1613
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MB45244
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0676209
—
NJ
01
—
E N 445304
MEDICARE
NJ
Enumeration date
02/06/2007
Last updated
12/01/2016
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