Joseph, Eric Mark

Joseph, Eric Mark is an individual health care provider with primary practice located at 1500 Pleasant Valley Way Suite 206, West Orange NJ 07052. He recently has only one registered license in Allopathic & Osteopathic Physicians / Facial Plastic Surgery, which is considered as his primary health care specialty. Joseph, Eric Mark can be contacted via phone (973) 325-1155.

Contact Information

Primary practice address
1500 Pleasant Valley Way Suite 206 West Orange NJ 07052
Phone: (973) 325-1155
Fax: (973) 325-8668
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X MA067103 New Jersey
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X 2019411 New York

Profile Details

NPI number 1558462556
LBN Legal business name Joseph, Eric Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558462556 NPPES
New Jersey MEDICAID 8442606

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