Individual
DR. MARK ROBERTO ACIERNO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS
Contact information
Practice address
84 THOMAS JOHNSON CT, SUITE B, FREDERICK, MD 21702-4348
(301) 662-8541
Mailing address
8322 GLEN HEATHER DR, FREDERICK, MD 21702-5806
(301) 631-6841
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
18941
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2004876
UHC FSS
MD
01
—
2511558
UHC MSS
MD
01
—
334552
PHCS
MD
01
—
443703
MSS MAMSI
MD
01
—
551810
FSS MAMSI
MD
01
—
604235-02
CAREFIRST
MD
01
—
604235-03
MSS CAREFIRST
MD
01
—
K1340004
MSS BC
MD
01
—
R5590001
FSS BC FEP
MD
Enumeration date
12/13/2005
Last updated
07/08/2007
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