Individual
JOHN MARK BLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
844 WASHINGTON ROAD, SUITE 102, WESTMINSTER, MD 21157
(410) 871-0088
(410) 871-0083
Mailing address
PO BOX 900, WESTMINSTER, MD 21158-0900
(410) 871-6502
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D0050329
MD
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
D50329
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
811900700
—
MD
Enumeration date
06/21/2006
Last updated
07/11/2013
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