Individual
DR. MARK GLOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
201 E UNIVERSITY PKWY # 6E, BALTIMORE, MD 21218-2829
(410) 554-6695
(410) 855-4218
Mailing address
201 E UNIVERSITY PKWY # 6E, BALTIMORE, MD 21218-2829
(410) 554-6695
(410) 855-4218
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
H0048214
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5460-0078
BCBS
DC
Enumeration date
08/09/2006
Last updated
12/11/2007
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