Search › New Jersey › 101YP2500X
Mark Wallman, L.P.C., L.C.A.D.C
NPI 1164676029 · on the registry since 2008 · sole proprietor
Practice
- Address
- 314 Kelly Ln
Boonton, NJ 07005 - Phone
- (973) 334-6006
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YA0400X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-05-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey