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Individual

DR. MARK ZWANGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
15 BAYSIDE BLVD, BETTERTON, MD 21610-9701
(215) 704-2818
(215) 440-8689
Mailing address
15 BAYSIDE BLVD, BETTERTON, MD 21610-9701
(215) 704-2818
(215) 440-8689

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D0066934
MD
207P00000X
Emergency Medicine Physician
MD041325E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001123909
PA
05
6396003
NJ
Enumeration date
07/12/2006
Last updated
05/05/2015
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