person
Mark Anthony Decotiis, DPM
Foot & Ankle Surgery Podiatrist in Holmdel, New Jersey
NPI 1851360036

Mark Anthony Decotiis is a Foot & Ankle Surgery Podiatrist based in Holmdel, NJ and is specialized in Foot & Ankle Surgery. Mark Anthony Decotiis practices in Holmdel, NJ and has the professional credentials of DPM. The NPI Number for Mark Anthony Decotiis is 1851360036 and holds a License No. MD02381 (New Jersey).

The current practice location address for Mark Anthony Decotiis is 721 N Beers St, Holmdel, NJ and can be reached out via phone at 732-888-1717 and via fax at 732-888-2101.

Location: 721 N Beers St, Holmdel, NJ, 07733-1518
person
Provider Profile Details
NPI Number
1851360036
Provider Name
Mark Anthony Decotiis
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
721 N Beers St, Holmdel, NJ, 07733-1518
Phone Number
732-888-1717
Fax Number
732-888-2101
Provider Enumeration Date
03/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10654598 01 CAQH
2K6416 01 HEALTH NET
P1093167 01 OXFORD ID
PJ3001 01 EMPIRE BCBS
institution
Provider Business Practice Location Address Details
Address
721 N Beers St
City
State
Zip
07733-1518
Phone Number
732-888-1717
Fax Number
732-888-2101
person
Provider Business Mailing Address Details
Address
721 N Beers St
City
State
Zip
07733-1518
Phone Number
732-888-1717
Fax Number
732-888-2101
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
MD02381 (New Jersey)
Definition
Definition to come...
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