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Contact Information

MARK B ANDERSON, MD
5501 OLD YORK RD
3RD FLOOR
PHILADELPHIA, PA19141-3018
 Phone: 215-456-8270
 Fax: 215-456-3533
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MARK B ANDERSON · (Male)

NPI Number 1245309103
Status Active
Credentials MD
Entity Individual
Enumeration date 11/07/2006
Last updated 01/12/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD445899
  • NJ Medicaid 8328102
  • NJ Other 330005347 RR MCR PTAN
Hospital affiliation(s)
  • HACKENSACK UNIVERSITY MEDICAL CENTER - (Acute Care)
    30 PROSPECT AVE
    HACKENSACK, NJ 07601
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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