Individual
DR. MAREK MRZYGLOCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
215 BRIGHTON AVE, LONG BRANCH, NJ 07740-5219
(732) 222-1543
(732) 774-9148
Mailing address
2102 CORLIES AVE, NEPTUNE, NJ 07753-6141
(732) 776-8535
(732) 774-9148
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MA46772
NJ
207UN0901X
Nuclear Cardiology Physician
Primary
25MA04677200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0653403
—
NJ
Enumeration date
02/14/2006
Last updated
07/03/2012
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