Individual
MARK MCBRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
160 E HANOVER AVE, MORRISTOWN, NJ 07960-3150
(201) 538-2334
(973) 829-9174
Mailing address
PO BOX 1446, MORRISTOWN, NJ 07962-1446
(201) 538-2334
(201) 829-9174
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA04208000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0054902
GHI PPO#
NJ
01
—
0081577000
AMERIHEALTH #
NJ
01
—
0502944
AETNA HMO#
NJ
05
—
1133306
—
NJ
01
—
223014220
TAX ID#
NJ
01
—
4263101
AETNA PPO#
NJ
01
—
A23649
AMERIHEALTH ADM #
NJ
01
—
IS212
OXFORD #
NJ
Enumeration date
09/27/2006
Last updated
01/18/2008
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