Individual
DR. MARK L. KAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19 DAVIS AVE FL 4, NEPTUNE, NJ 07753-4488
(732) 935-0407
(732) 935-0757
Mailing address
19 DAVIS AVE FL 4, NEPTUNE, NJ 07753-4488
(732) 935-0407
(732) 935-0757
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA09265400
NJ
208600000X
Surgery Physician
ME103692
FL
2086S0120X
Pediatric Surgery Physician
Primary
25MA09265400
NJ
2086S0120X
Pediatric Surgery Physician
ME103692
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000659400
—
FL
01
—
17010
BLUE CROSS BLUE SHIELD
FL
05
—
363731
—
NJ
Enumeration date
12/14/2005
Last updated
09/07/2022
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