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Individual

DR. WILLIAM W MARK JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
224 WASHINGTON ST, CUMBERLAND, MD 21502-2827
(301) 777-8383
(301) 777-2780
Mailing address
224 WASHINGTON ST, CUMBERLAND, MD 21502-2827
(301) 777-8383
(301) 777-2780

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D31221
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
356351100
MD
Enumeration date
11/01/2006
Last updated
04/12/2012
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