Mark Joel Illuminati in Baltimore - General Practice
Mark Joel Illuminati - NPI 1518077320
Mark Joel Illuminati is a General Practice in Baltimore, Maryland. Mark Joel Illuminati practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mark Joel Illuminati is 1518077320. The last update date is 2007-07-08.
Mark Joel Illuminati's current location address is 1212 Shore Rd, Baltimore, Maryland. You can contact this provider via phone number 4107803972. The mailing address for Mark Joel Illuminati is 1212 Shore Rd, Baltimore, Maryland. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mark Joel Illuminati |
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Address | 1212 Shore Rd, Baltimore, Maryland |
Phone Number | 4107803972 |
Fax Number | |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1518077320 |
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Provider Enumeration Date | 2006-08-30 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1212 Shore Rd |
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City | Baltimore |
State | Maryland (MD) |
Post Code | 212205526 |
Phone Number | 4107803972 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 208D00000X |
Licence No | D35832 |
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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What is the unique 10-digit identifier code issued to Mark Joel Illuminati by the Centers for Medicare & Medicaid Services?
The Mark Joel Illuminati has been assigned the NPI (National Provider Identifier) 1518077320 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Mark Joel Illuminati is located?
The Mark Joel Illuminati is situated at the following address: 1212 Shore Rd, Baltimore, MD, 212205526.
What is Mark Joel Illuminati's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark Joel Illuminati's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 208D00000X.
On what date was the 1518077320 assigned to Mark Joel Illuminati?
The Mark Joel Illuminati was issued its 1518077320 on 2006-08-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Mark Joel Illuminati's details last updated?
The information pertaining to the Mark Joel Illuminati, including its address, specialty, and other details, was most recently updated on 2007-07-08.