MEDICARE: DR. MARK P LYNCH DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	MC03550	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0418706000	OTHER	NJ	AMERIHEALTH
2	P826862	OTHER	NJ	OXFORD

General Provider Information

NPI Number	:	1851362016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK P LYNCH DC

Provider Business Mailing Address
First Line	:	222 SERPENTINE DR
Second Line	:
City	:	BAYVILLE
State	:	NJ
Zip	:	08721-3227
Country	:	US
Telephone Number	:	732-269-2225
Fax Number	:	732-237-9825

Provider Business Practice Location Address
First Line	:	222 SERPENTINE DR
Second Line	:
City	:	BAYVILLE
State	:	NJ
Zip	:	08721-3227
Country	:	US
Telephone Number	:	732-269-2225
Fax Number	:	732-237-9825

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	11/08/2011

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Directions to “ DR. MARK P LYNCH DC” Practice Location

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