Provider Demographics
NPI:1447278270
Name:STRZEMINSKI, MARK
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:
Last Name:STRZEMINSKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 DEMOTT LN
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-4875
Mailing Address - Country:US
Mailing Address - Phone:732-246-1095
Mailing Address - Fax:732-246-1096
Practice Address - Street 1:225 DEMOTT LN
Practice Address - Street 2:SUITE 201
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-4875
Practice Address - Country:US
Practice Address - Phone:732-246-1095
Practice Address - Fax:732-246-1096
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJM104798111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ009365Medicare ID - Type Unspecified