Individual
DR. MARK L MOKRZYCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 CRANBURY RD, SUITE 219, EAST BRUNSWICK, NJ 08816-4098
(732) 651-0005
(732) 651-0053
Mailing address
620 CRANBURY RD, SUITE 219, EAST BRUNSWICK, NJ 08816-4098
(732) 651-0005
(732) 651-0053
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MA65991
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7327404
—
NJ
01
—
P00146016
RAILROAD MEDICARE
NJ
Enumeration date
04/21/2006
Last updated
03/18/2008
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