Mark J Wild is a Internal Medicine in Bel Air, Maryland. Mark J Wild practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Mark J Wild is 1679578207. The last update date is 2012-12-10.
Mark J Wild's current location address is 2 North Ave, Bel Air, Maryland. You can contact this provider via phone number 4108386434 and fax number 4108384250. The mailing address for Mark J Wild is 2 North Ave, Bel Air, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark J Wild |
|---|---|
| Address | 2 North Ave, Bel Air, Maryland |
| Phone Number | 4108386434 |
| Fax Number | 4108384250 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1679578207 |
|---|---|
| Provider Enumeration Date | 2005-06-20 |
| Last Updated Date | 2012-12-10 |
Provider Mailing Address Detail
| Address | 2 North Ave |
|---|---|
| City | Bel Air |
| State | Maryland (MD) |
| Post Code | 2101423030 |
| Phone Number | 4108386434 |
| Fax Number | 4108384250 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | D35522 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 778171700 | MD | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mark J Wild by the Centers for Medicare & Medicaid Services?
The Mark J Wild has been assigned the NPI (National Provider Identifier) 1679578207. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mark J Wild?
The Mark J Wild is situated at 2 North Ave, in the city of Bel Air, state of MD, with the zip code 2101423030.
What is Mark J Wild's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark J Wild's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.
On what date did the Mark J Wild receive its 1679578207 assignment from the Centers for Medicare & Medicaid Services?
The Mark J Wild was assigned its 1679578207 by the Centers for Medicare & Medicaid Services on 2005-06-20.
When was the information pertaining to Mark J Wild most recently updated or revised?
The details related to Mark J Wild, including its address, specialty, and other relevant information, were last updated or revised on 2012-12-10.
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