Individual
MR. MARK L VAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, CEN, CFRN
Contact information
Practice address
899 MANHATTAN AVE, TOWNSHIP OF WASHINGTON, NJ 07676-4735
(201) 916-7539
Mailing address
899 MANHATTAN AVE, TOWNSHIP OF WASHINGTON, NJ 07676-4735
(201) 916-7539
Taxonomy
Speciality
Code
Description
License number
State
163WF0300X
Flight Registered Nurse
Primary
26NR11189800
NJ
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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