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Individual
DR. MARK A CONDON
Active
Individual
DR. MARK A CONDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
13590
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119423
—
MS
Enumeration date
11/01/2006
Last updated
03/13/2014
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