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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK STEPHEN LICCINI, DO

Active Sole Proprietor

MARK STEPHEN LICCINI, DO is a Anesthesiology healthcare provider located in VOORHEES, New Jersey. NPI 1861562779 is currently active in the NPPES registry. Verify at CMS.

Anesthesiology · VOORHEES, NJ

Registration Details

NPI Number
1861562779
Provider Type
Individual
Gender
Male
NPI Issued
Nov 8, 2006 (19.75373828762 yrs)
Last Updated
Feb 5, 2024
License
25MB 07743500 (NJ)
Sole Proprietor
Yes

Practice Information

Address
93 COOPER RD STE 100
VOORHEES, NJ, 080434910
Browse NJ providers · Browse ZIP 08043
Phone
8567701920
Fax
8567701925
Primary Specialty
Anesthesiology
207L00000X

Other Anesthesiology Providers in VOORHEES, NJ

Name Credential NPI
DR. DAVID P AVELLA MD 1134127111
DR. ALAND H LEE MD 1710985742
DR. SAJAD BILGRAMI DO 1649278623
DR. TODD G HERMANN MD 1235138678
PRAVEEN C GOLLAPUDI M.D. 1740482231
DR. CARA ANN RILEY MD 1437310836
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.