Individual
DR. MARK SEMENTILLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
190 ADMIRAL COCHRANE DR, ANNAPOLIS, MD 21401-7365
(410) 571-6411
(410) 571-6415
Mailing address
5113 BONNIE BRAE CT, ELLICOTT CITY, MD 21043-7048
(410) 418-5195
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
02751
MD
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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