Dr. Mark Richard Menaquale
Foot & Ankle Surgery
310 Jackson Rd
Atco
, New Jersey 08004-1604
Dr. Mark Richard Menaquale
Foot & Ankle Surgery
310 Jackson Rd
Atco
, New Jersey 08004-1604
(856) 767-9100
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About
Features
Specialties
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Mark Richard Menaquale
- 310 Jackson Rd
- Atco, NJ
- Zip : 08004-1604
- Phone : (856) 767-9100
Second Address
- Dr. Mark Richard Menaquale
- 310 Jackson Rd
- Atco, NJ
- Zip : 08004-1604
- Phone : (856) 767-9100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0103X | Foot & Ankle Surgery | MD01443 | NJ |
National Provider Identifier
| NPI | 1013019025 |
|---|---|
| Provider Name | Dr. Mark Richard Menaquale |
| First Address | Atco, NJ 08004-1604 |
| Second Address | Atco, NJ 08004-1604 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/09/2006 |
| Last Update Date | 21/02/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| T44881 | (02) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.