Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 38MC00317900 | NJ |
NPI | 1326024456 |
---|---|
Provider Name | Dr. Mark A Najjar |
First Address | Hazlet, NJ 07730-1716 |
Second Address | Hazlet, NJ 07730-1716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
114730800 | DEPARTMENT OF LABOR (01) | NJ |
4216634 | AETNA (01) | NJ |
5898675 | GHI (01) | NJ |
P469513 | OXFORD (01) | NJ |
U29239 | (02) | NJ |