Individual
MARK DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 RIVERVIEW PLZ, RED BANK, NJ 07701-1864
(732) 530-2204
Mailing address
307 S EVERGREEN AVE, WOODBURY, NJ 08096-2739
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MA69584
NJ
Other
Enumeration date
06/10/2006
Last updated
05/24/2021
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