Individual
DR. MARK BRUCE SPAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.,R.PH.
Contact information
Practice address
23 SPRINGHILL ROAD, RANDOLPH, NJ 07869-4324
(973) 895-4857
(973) 933-2030
Mailing address
23 SPRINGHILL ROAD, RANDOLPH, NJ 07869-4324
(973) 895-4857
(973) 933-2030
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00213800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480025935
RAILRAOD MEDICARE
NJ
05
—
5447704
—
NJ
Enumeration date
06/13/2005
Last updated
03/04/2013
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