Individual
MARK THOMAS JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1830 E MONUMENT ST, 5TH FLOOR, BALTIMORE, MD 21287-0020
(410) 955-3467
Mailing address
1830 E MONUMENT ST, 5TH FLOOR, BALTIMORE, MD 21287-0020
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
D75260
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098010200
—
MD
Enumeration date
06/10/2008
Last updated
08/29/2016
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