Individual
DR. JAMES RYAN MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 COTTMAN AVE, PHILADELPHIA, PA 19111-2434
(215) 728-6900
(215) 214-1734
Mailing address
3500 N BROAD ST, PHILADELPHIA, PA 19140-4106
(215) 707-3411
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
2015-00289
NC
208800000X
Urology Physician
25MA09973500
NJ
208800000X
Urology Physician
Primary
MD444134
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06649466
—
NJ
05
—
102843872
—
PA
05
—
1336382027
—
NC
05
—
NC2463
—
SC
Enumeration date
04/11/2009
Last updated
05/29/2024
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