Individual
MARK JOSEPH YACYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11110 MEDICAL CAMPUS RD, SUITE 205, HAGERSTOWN, MD 21742-6700
(301) 665-4950
(301) 665-4956
Mailing address
11110 MEDICAL CAMPUS RD, SUITE 205, HAGERSTOWN, MD 21742-6700
(301) 665-4950
(301) 665-4956
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
H0046108
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
282871500
—
MD
Enumeration date
09/02/2005
Last updated
06/10/2010
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