NPI 1003059536

Mark Lister, M.D., PA

Organisation Ophthalmology Physician Newark, NJ

Practice location

Address: 495 N 13th St, Newark, NJ 07107-1317
Phone: (973) 844-1340
Fax: (973) 450-5964

Authorised official

Name: Mark Anthony Lister
Title: Owner
Phone: (973) 844-1340

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 25MA04176200 (NJ)

Other Ophthalmology providers in New Jersey →

Registry record

NPI: 1003059536
Entity type: Organization
NPI issued: 14 Apr 2009
Record last updated: 20 Apr 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.