Individual provider · Type 1 NPI
Mark Carson
Driver · Normandy Beach, NJ
NPI number
1477103232
Active
Practice location
229 4th Avenue
Normandy Beach, NJ 08739-0229
Mailing address
PO Box 229
Normandy Beach, NJ 08739-0229
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | C06845216305494 (NJ) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1477103232
Mark Carson's National Provider Identifier is 1477103232, issued on Sep 13, 2019. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Normandy Beach, NJ. The record was last updated on Sep 13, 2019.