Individual
DR. MARK MUMFORD MALKUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
408 BYRN ST, CAMBRIDGE, MD 21613-1910
(410) 228-1068
(410) 228-6338
Mailing address
408 BYRN ST, CAMBRIDGE, MD 21613-1910
(410) 228-1068
(410) 228-6338
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0050804
MD
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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