| Mark S Corkin, DC | |
|
2517 Route 35 Ste B101, Manasquan, NJ 08736-1905 | |
| (732) 303-4172 | |
| Not Available |
| Full Name | Mark S Corkin |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 2517 Route 35 Ste B101, Manasquan, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043445752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | X011829-1 (New York) | Secondary |
| 111N00000X | Chiropractor | 38MC00697200 (New Jersey) | Primary |
| Provider Name | Advanced Spine Care And Physical Rehabilitation,llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1891816914 PECOS PAC ID: 0749269637 Enrollment ID: O20040715000057 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark S Corkin, DC 29 Bradley Ave, Brick, NJ 08724-8137 Ph: (201) 467-1771 | Mark S Corkin, DC 2517 Route 35 Ste B101, Manasquan, NJ 08736-1905 Ph: (732) 303-4172 |
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