Individual
MARK PERNICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2106 NEW RD, SUITE D1, LINWOOD, NJ 08221-1050
(609) 927-9545
(609) 927-2920
Mailing address
2106 NEW RD, SUITE D1, LINWOOD, NJ 08221-1050
(609) 927-9545
(609) 927-2920
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB04100800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010640
US HEALTHCARE
NJ
01
—
0100759001
AMERIHEALTH
NJ
01
—
156502908
UNITED HEALTHCARE
NJ
05
—
2013207
—
NJ
01
—
F09371
HEALTHNET
NJ
01
—
NJ41008
MUTUAL OF OMAHA
NJ
Enumeration date
05/19/2006
Last updated
07/19/2011
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