Dr. Mark Wallen, MD
Psychiatry & Neurology, Psychiatry in Stratford, New Jersey
1366416901- Practice location
- 42 Laurel RD E, Suite # 3610, Stratford, NJ 08084-1354
- Phone
- 856-482-9000
- Fax
- 856-482-1159
- Last updated
- November 18, 2008
Mark Wallen is a Psychiatry & Neurology, Psychiatry based in Stratford, NJ. Mark Wallen practices in Stratford, NJ and has the professional credentials of MD. The NPI Number for Mark Wallen is 1366416901 and holds a License No. MA03512400 (NJ). The current practice location address for Mark Wallen is 42 Laurel RD E, Suite # 3610, Stratford, NJ 08084-1354 and can be reached out via phone at 856-482-9000 and via fax at 856-482-1159.
Provider Profile Details
- NPI Number
- 1366416901
- Provider Name
- Mark Wallen
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 42 Laurel RD E, Suite # 3610, Stratford, NJ 08084-1354
- Phone Number
- 856-482-9000
- Fax Number
- 856-482-1159
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 13, 2006
- Last Update Date
- November 18, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 42 Laurel RD E
Suite # 3610
Stratford, NJ 08084-1354 - City
- Stratford
- State
- New Jersey
- Zip
- 08084-1354
- Phone Number
- 856-482-9000
- Fax Number
- 856-482-1159
Provider Business Mailing Address Details
- Address
- Po Box 635
Bellmawr, NJ 08099-0635 - City
- Bellmawr
- State
- NJ
- Zip
- 08099-0635
- Phone Number
- 856-770-5772
- Fax Number
- 856-482-1159
License Information
- License Number (1)
- MA03512400
- License State (1)
- NJ
- Taxonomy (1)
- Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary
- License Number (2)
- MA03512400
- License State (2)
- NJ
- Taxonomy (2)
- Psychiatry & Neurology, Addiction Medicine · 2084A0401X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Mark Wallen, MD?
The NPI number of Dr. Mark Wallen, MD is 1366416901. It was assigned on February 13, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Mark Wallen, MD?
Dr. Mark Wallen, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in NJ under license number MA03512400.
Where does Dr. Mark Wallen, MD practice?
The practice location is 42 Laurel RD E, Suite # 3610, Stratford, NJ 08084-1354. The office can be reached at 856-482-9000 (phone) or 856-482-1159 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366416901 directly on the NPPES registry website.