Individual
MARK FRANCIS INDZONKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
505 INDEPENDENCE RD, SUITE B, EAST STROUDSBURG, PA 18301-7916
(570) 421-3800
(570) 421-8014
Mailing address
505 INDEPENDENCE RD, SUITE B, EAST STROUDSBURG, PA 18301-7916
(570) 421-3800
(570) 421-8014
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD043750E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014131860005
—
PA
Enumeration date
07/28/2006
Last updated
02/01/2011
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