Organization
MARKRMENAQUALE,INC
Active
Parent organization
MARKRMENAQUALE,INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARKRMENAQUALE,INC
Authorized official
DR. MARK R MENAQUALE DPM (PRESIDENT-OWNER)
(609) 509-0898
Entity
Organization
Contact information
Practice address
310 JACKSON RD, ATCO, NJ 08004-1604
(856) 767-9100
(856) 767-9571
Mailing address
310 JACKSON RD, ATCO, NJ 08004-1604
(856) 767-9100
(856) 767-9571
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MD01443
NJ
Other
Enumeration date
02/29/2008
Last updated
02/29/2008
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