Individual
DR. MARK J TWARDZIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4503 ATLANTIC AVE, ATLANTIC CITY, NJ 08401-5733
(609) 344-3900
(609) 344-8512
Mailing address
4503 ATLANTIC AVE, ATLANTIC CITY, NJ 08401-5733
(609) 344-3900
(609) 344-8512
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
MDO1233
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2285606
—
NJ
01
—
583293TV
MEDICARE PTAN
NJ
Enumeration date
11/06/2006
Last updated
06/25/2013
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