Mazen Itani MD PC
Mazen Itani MD PC is a Vascular & Interventional Radiology Physician in Flanders, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.
- Licensed in
- NJ
- In the registry since
- 2006
- Specialties on file
- 3
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
183 US Highway 206 Ste 2Flanders, NJ 07836-9261
Phone: (973) 705-7202
Fax: (973) 705-7262
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence 25MA08075500 (NJ) |
|---|---|
| Vascular & Interventional Radiology Physician | Taxonomy 2085R0204X · Licence 25MA08075500 (NJ) |
| Vascular Surgery Physician | Taxonomy 2086S0129X · Licence 25MA08075500 (NJ) |
Record details
| NPI number | 1821186586 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mazen Itani — Owner · (973) 705-7202 |
| NPI enumerated | October 10, 2006 |
| Last updated in NPPES | January 19, 2021 |
| Certification date | January 19, 2021 |
| Mailing address | 62 Crestview Rd, Mountain Lakes, NJ 07046-1224 |
Other providers in Flanders
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Mazen S. Itani, MD
183 US Highway 206 Ste 2, Flanders, NJ 07836 · (973) 705-7202