Healthcare Provider Details

I. General information

NPI: 1851362016
Provider Name (Legal Business Name): MARK P LYNCH DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2006
Last Update Date: 11/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 SERPENTINE DR
BAYVILLE NJ
08721-3227
US

IV. Provider business mailing address

222 SERPENTINE DR
BAYVILLE NJ
08721-3227
US

V. Phone/Fax

Practice location:
  • Phone: 732-269-2225
  • Fax: 732-237-9825
Mailing address:
  • Phone: 732-269-2225
  • Fax: 732-237-9825

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberMC03550
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: