Individual
MARK ENDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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