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DR. MARK CONDOLUCI D.O. NPI 1851603120


NPI Information

NPI: 1851603120
Provider Name: DR. MARK CONDOLUCI, D.O.
Classification: Internal Medicine - 207RI0200X
Entity Type: Individual

Specialization: Infectious Disease

PECOS Registration: Yes

Address:
709 HADDONFIELD BERLIN RD
GARDEN STATE INFECTIOUS DISEASES ASSOCIATES, P.A.
VOORHEES, NJ
ZIP 08043
Phone: (856) 566-3190
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DR. Mark Condoluci, D.O. is an infectious disease internal medicine in Voorhees, NJ with 11 years of experience. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. DR. Mark Condoluci, D.O. NPI is 1851603120. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:2013

The provider's business location address is:

709 HADDONFIELD BERLIN RD
GARDEN STATE INFECTIOUS DISEASES ASSOCIATES, P.A.
VOORHEES, NJ
ZIP 08043-715
Phone: (856) 566-3190
Fax: (856) 783-2193

The NPI 1851603120 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/2/2010 and was last updated on 2/28/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine25MB09385700NEW JERSEYNo
2207RI0200XInternal MedicineInfectious Disease25MB09385700NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10476137MEDICAIDNEW JERSEY
2407128ZGH1MEDICARE PINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.