Individual
MR. MARK ANTHONY DIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
120 EAGLE ROCK AVE STE 154, EAST HANOVER, NJ 07936-3168
(201) 447-4772
Mailing address
1501 ROUTE 10 APT 230, PARSIPPANY, NJ 07054-4554
(908) 894-4011
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
25MP00586300
NJ
363A00000X
Physician Assistant
Primary
25MP00586300
NJ
363A00000X
Physician Assistant
—
NJ
Other
Enumeration date
10/29/2020
Last updated
04/23/2026
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