Ditmar, Mark F.
Ditmar, Mark F. is an individual health care provider with primary practice located at Atlanticare Regional Medical Center Jimmie Leeds Road, Pomona NJ 08240-9104. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Ditmar, Mark F. can be contacted via phone (609) 652-1000.Contact Information
Primary practice address
Atlanticare Regional Medical Center Jimmie Leeds Road
Pomona NJ 08240-9104
Phone: (609) 652-1000
Fax: (609) 748-5988
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MA05362200 | New Jersey |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MA05362200 | New Jersey |
Profile Details
| NPI number | 1629168356 |
|---|---|
| LBN Legal business name | Ditmar, Mark F. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | May 7th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629168356 | NPPES |
| New Jersey | MEDICAID | 0152005 | |
| New Jersey | MEDICAID | 5127068 | |
| New Jersey | MEDICAID | 001053760 |
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