IndividualActive
Mark Michael, DO
NPI 1528296142 · Pediatric Cardiology Physician · Newark, NJ
Provider details
- NPI number
- 1528296142
- Entity type
- Individual
- Primary specialty
- Pediatric Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- License
- 25MB08737300 (NJ)
Mailing address
201 Lyons Ave
Newark, NJ 07112-2027
Registry dates
- Enumerated
- 2009-06-23
- Last updated
- 2024-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.