Mark I Birnbaum, DMD is a
Dentist based in Bordertown, New Jersey. Mark I Birnbaum is licensed to practice in New Jersey (license number DI018752) and his current practice location is
3 Third Street, Suite 101, Bordertown, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(609) 298-1964.
NPI number for Mark I Birnbaum is 1962512749 and his current mailing address is 3 Third Street, Suite 101, Bordertown, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962512749.
Healthcare Provider's Profile
| Full Name | Mark I Birnbaum |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
|---|
| Location | 3 Third Street, Bordertown, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1962512749
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mark I Birnbaum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962512749 | NPI | - | NPPES |
| 99999 | Other | | BLUE CROSS |
| 22189 | Other | NJ | DELTA DENTAL |
| 00864 | Other | PA | UNITED CONCORDIA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | DI018752 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark I Birnbaum is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mark I Birnbaum, DMD
3 Third Street, Suite 101,
Bordertown, NJ 08505-1321
Ph: (609) 298-1964 | Mark I Birnbaum, DMD
3 Third Street, Suite 101,
Bordertown, NJ 08505-1321
Ph: (609) 298-1964 |
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