Individual
DR. MARK RICHARD KATLIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 WEST BELVEDERE AVENUE, SINAI HOSPITAL OF BALTIMORE, BALTIMORE, MD 21215
(410) 601-5547
(410) 601-5835
Mailing address
2401 WEST BELVEDERE AVENUE, SINAI HOSPITAL DEPARTMENT OF SURGERY, BALTIMORE, MD 21215
(410) 601-5547
(410) 601-5835
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD029769E
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
D72906
MD
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD029769E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001492250
—
PA
Enumeration date
03/23/2006
Last updated
02/24/2022
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