Organization
MARK E MALETSKY, M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK E MALETSKY MD (OWNER)
(973) 492-1757
Entity
Organization
Contact information
Practice address
2025 HAMBURG TPKE, SUITE G, WAYNE, NJ 07470-6260
(973) 492-1757
(973) 492-6580
Mailing address
2025 HAMBURG TPKE, SUITE G, WAYNE, NJ 07470-6260
(973) 492-1757
(973) 492-6580
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA41272
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1342606
—
NJ
Enumeration date
05/04/2011
Last updated
05/04/2011
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