Individual
MARK PAKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5918 BERGENLINE AVE, SUITE 200, WEST NEW YORK, NJ 07093-1392
(201) 861-6555
(973) 817-8888
Mailing address
5918 BERGENLINE AVE, SUITE 200, WEST NEW YORK, NJ 07093-1392
(201) 861-6555
(973) 817-8888
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
22DI02182000
NJ
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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