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Individual

DR. MARK EDWARD POPLAWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
555 LAKEHURST RD, TOMS RIVER, NJ 08755-8044
(732) 557-6336
(732) 557-4103
Mailing address
555 LAKEHURST RD, TOMS RIVER, NJ 08755-8044
(732) 557-6336
(732) 557-4103

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00244300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0077658
NJ
01
BP5759610
CONTROLLED DANGEROUS SUBS
NJ
01
BP9112436
CONTROLLED SUBSTANCE REGI
NJ
Enumeration date
11/06/2006
Last updated
02/27/2020
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